HCR 201 Week 3 Working With CPT Modifiers Worksheet

Complete the University of Phoenix Material: Working With CPT Modifiers Worksheet.

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Working With CPT Modifiers Worksheet

Complete Parts A and B of this worksheet.

Part A

Resource: Table 5.2 of Medical Insurance: An Integrated Claims Process Approach

Complete the exercise by identifying the correct Current Procedural Terminology (CPT) modifier to its corresponding procedure for the following:

Part B

Resource: Ch. 5 of Medical Insurance: An Integrated Claims Process Approach

Complete the following table.

Determine the correct modifier that would be used for billing:

Procedure	Modifier options
Patient had carpal tunnel surgery performed on both wrists.	56 32 47 50
Patient had a lumbar puncture at 01:00 with a repeat lumbar puncture at 05:00.	62 76 92 26
Professional component – reading radiology examination	26 25 22 99
Patient had an evaluation performed at the doctor’s office. After the evaluation, the doctor removed a lesion from the arm. Which modifier would be used to indicate a separate procedure for the lesion removal?	51 26 80 59
Patient had an evaluation performed at the doctor’s office. After the evaluation, the doctor removed a lesion from the arm. Which modifier could be used to signify a separate identifiable evaluation and management the same date of service as a procedure?	26 56 58 25
Patient had surgery last week and presents with a post-operative infection.	55 29 33 25
Patient had a mastectomy. Dr. Smith assisted Dr. James with the procedure. What modifier would be used to indicate the surgical assist code for Dr. Smith?	47 50 80 25
Patient returned to the operating room after having surgery later in the day for uncontrolled bleeding.	80 26 53 78
The biopsy was removed and sent to an outside lab for pathology. Which modifier could be used to indicate outside laboratory?	92 22 91 90
Patient had an appendectomy and total hysterectomy performed during the same surgical episode. Which modifier would be used to indicate a multiple procedure performed for the appendectomy?	54 50 51 66