Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Practice Exam

CPC Practice Exam and Study Guide Package

Practice Exam

What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

Practice Exam

2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Modifier 25 for examining a separate but minor problem

I had asked this before in the past but want to hear a little more opinion on this.

In the scenario for the modifier 25 to be use, the other problem must be significant and separate from the procedure.

I’ve read that in order for the other problem to be considered "significant" "This can be defined as a problem that requires considerable workup or treatment, or a problem that, if not addressed at today’s visit, would require the patient to return for another visit to address it. A minor problem or concern would not warrant the billing of an E/M service in addition to a procedure."

So based off of this definition. If a patient for example needed cryo surgery on a wart on the hand, but the patient also has concern of a mole on her face, which the doctor used her dermascope to examine and has deemed it benign, does that separate exam not qualify the use of modifier 25 as that is obviously a minor problem? Because its separate but not significant?

Medical Billing and Coding Forum

New Problem to examining MD: Additional Work-up versus No Additional Work-up

Hi! I am a new CPC-A working on the Practicode. I am using the E/M Audit Tool to assign points for MDM. I am also using tools from E/M University. A lot of the cases I am working through are in the ED. I am missing the mark on leveling – I just coded 2 practice cases in a row that I should have coded 99285, but I thought they were 4s. If the examining doctor is discharging a patient because they are stable but advising them to make the next available appointment with a specialist or other physician, is this considered a New Problem with Additional Work Up Planned since the physician is counseling them to see another physician? I thought it was No Additional Work up Planned because the patient was being discharged. Thanks in advance. E/M leveling is a learning process for me :).

Medical Billing and Coding Forum