Modifiers and CCI Edits

Modifier Exercise: Code the CPT Code(s) for the services and include the appropriate modifier(s).

1. The patient is seen monthly for follow-up of breast cancer. The condition is stable, and no data was ordered or reviewed. The patient also complains of a new skin lesion, which the physician decides to biopsy that day by shaving a sliver off and sending to pathology.

99202 and 11102 (CPT Codes)

2. A new patient is seen to evaluate shortness of breath and chest pain. There are no systemic symptoms for this acute illness. A two-view chest x-ray is ordered and referred to radiology for interpretation.

99203 and 71035 (CPT Codes)

3. In case #2 above, how would the radiologist report his/her service?

76140 (CPT Codes)

4. A patient has a double modified radical mastectomy (both breasts).

19307 (CPT Codes)

5. A physician assisted another in a left lobe hepatectomy. How would the assistant physician report the service?

47122 (CPT Codes)

CCI Editsindicate the correct coding of the following coding pairs.

1. 11102 and 10044
2. 19020 and 64400
3. 12021 and 32998
4. 37202 and 40490
5. 44970 and 51535
6. 51701 and 65273
7. 74300 and 76001
8. 86930 and 88240
9. 99204 and 97803
10. 40500 and 99213