Evaluation And Management Modifiers Quiz

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Quizzes Created: 2 | Total Attempts: 644

Questions: 10 | Attempts: 169 | Updated: Aug 22, 2023

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Evaluation And Management Modifiers Quiz - Quiz

Are you ready to take this "Evaluation and management modifiers quiz?" E&M codes are shown by CPT® code numbers 99201 through 99499. E&M codes are for the purpose of describing patients' visits, and these are divided into various categories such as office visits, hospital visits as well as consultations. These categories are divided even further. So, do you know much about this? Let's find out as you take this quiz! All the best!

Questions and Answers

1.

Which modifier should be used when the assistant (for surgery) is a Nurse Practioner or Physician's Assistant?
- A.
  
  80
- B.
  
  AS
- C.
  
  81
- D.
  
  90
Correct Answer
B. AS

Explanation
The modifier "AS" should be used when the assistant for surgery is a Nurse Practitioner or Physician's Assistant.

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2.

What does Comorbid mean?
- A.
  
  Pre-existing
- B.
  
  Chronic
- C.
  
  Acute
- D.
  
  None of these
Correct Answer
A. Pre-existing

Explanation
Comorbid refers to the presence of two or more medical conditions or diseases in an individual at the same time. These conditions are pre-existing, meaning they existed prior to the diagnosis or occurrence of another condition. Therefore, the correct answer is "pre-existing."

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3.

There are two types of modifiers: informational and payment (reimbursement).
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
The statement is true because there are indeed two types of modifiers: informational modifiers and payment modifiers. Informational modifiers provide additional details or clarification about a service or procedure, while payment modifiers indicate changes in reimbursement or pricing for a specific service.

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1
0
4.

E/M also stands for ________ in management.
- A.
  
  Earn and make
- B.
  
  Escape and margin
- C.
  
  Both
- D.
  
  None
Correct Answer
D. None

Explanation
The correct answer is "None" because the options provided, "Earn and make" and "Escape and margin," do not accurately represent any commonly used acronyms or terms in management that are commonly associated with the abbreviation "E/M." Therefore, the correct answer is that "E/M" does not stand for anything in management.

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5.

There are three modifiers that we can attach to the E/M services to distinguish it from the global period-what are they? (Check all that apply)
- A.
  
  22
- B.
  
  24
- C.
  
  25
- D.
  
  57
Correct Answer(s)
B. 24
C. 25
D. 57

Explanation
The correct answer is 24, 25, and 57. These modifiers are used to distinguish E/M services from the global period. Modifier 24 is used for unrelated E/M services during a postoperative period. Modifier 25 is used for significant, separately identifiable E/M services on the same day as a procedure. Modifier 57 is used for an E/M service that results in a decision for surgery on the same day or the day before a major procedure. These modifiers help to indicate that the E/M service is distinct and separate from the global period.

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1
0
6.

One of the most common reasons for denial is a missing or incorrect modifier.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
A modifier is a word or phrase that provides additional information about a subject or an action in a sentence. If a modifier is missing or incorrect, it can lead to confusion or change the meaning of a sentence. This can result in denial of a claim or request, especially in written communication where clarity is crucial. Therefore, it is true that one of the most common reasons for denial is a missing or incorrect modifier.

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7.

If the procedure/service is bilateral in nature, you need to indicate it with a 50 modifier.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
If the procedure/service is bilateral in nature, it does not need to be indicated with a 50 modifier.

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8.

26 & TC are considered informational modifiers.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
The statement is incorrect. 26 & TC are not considered informational modifiers. An informational modifier is a word or phrase that provides additional information about a noun or pronoun. However, "26 & TC" does not provide any additional information about a noun or pronoun. Therefore, the correct answer is False.

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9.

E/M codes are used to classify the amount of cognitive service provided, which basically means:
- A.
  
  Amount of effort & time.
- B.
  
  Amount of responsibility.
- C.
  
  Amount of medical skill & knowledge.
- D.
  
  All of these
Correct Answer
D. All of these

Explanation
E/M codes are used to classify the amount of cognitive service provided, which includes the amount of effort and time spent, the amount of responsibility taken, and the amount of medical skill and knowledge required. These codes help in determining the level of complexity and intensity of the medical service provided by healthcare professionals.

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10.

Appropriate usage of modifier(s) should relate to:
- A.
  
  Separate patient encounter/service.
- B.
  
  Separate anatomic sites.
- C.
  
  Separate specimens.
- D.
  
  All of the above
Correct Answer
D. All of the above

Explanation
The appropriate usage of modifier(s) should relate to separate patient encounters/services, separate anatomic sites, and separate specimens. This means that when reporting medical procedures or services, modifiers should be used to indicate when these elements are distinct and separate from each other. This ensures accurate and specific coding and billing for each separate aspect of the patient's care.

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Current Version
Aug 22, 2023

Quiz Edited by
ProProfs Editorial Team
Aug 02, 2011

Quiz Created by
Solsweet

Evaluation And Management Modifiers Quiz

Which modifier should be used when the assistant (for surgery) is a Nurse Practioner or Physician's Assistant?

What does Comorbid mean?

There are two types of modifiers: informational and payment (reimbursement).

E/M also stands for ________ in management.

There are three modifiers that we can attach to the E/M services to distinguish it from the global period-what are they? (Check all that apply)

One of the most common reasons for denial is a missing or incorrect modifier.

If the procedure/service is bilateral in nature, you need to indicate it with a 50 modifier.

26 & TC are considered informational modifiers.

E/M codes are used to classify the amount of cognitive service provided, which basically means:

Appropriate usage of modifier(s) should relate to: