Xpert Healthcare Group (Modifier Test)
1. Patient is seen in the office because of complications with his diabetes and thyroid. The doctor ordered lab
work and performed a detailed history and examination. The patient also had a skin tag that he asked the
Doctor to remove from his neck and was bothersome. What modifier would be used for this office visit?
a. 25
b. 59
c. 51
d. 54
2. Patient presented to the office one week ago (global days are 10 days) with a skin lesion on her scalp. It was
excised at that time and sent to the pathologist. The pathology report came back as malignant and she is here
today for a re-excision for complete removal of the lesion. What modifier would be used for today’s visit?
a. 24
b. 25
c. 58
d. None would be used
3. Patient came into the Urgent Care Facility for ankle swelling, discoloration and pain. Patient had a collision
with another player at softball practice. A two view x-ray was taken by our x-ray technician and it confirmed a
trimalleolar ankle fracture. The ankle was manipulated and a walking cast was applied. The patient is to
return next week for a follow-up visit. The x-rays were sent to the radiologist (who is not part of the Urgent
Care Facility) for reading. What modifier would be used for this Urgent Care Visit?
a. TC
b. 26
c. 54
d. 58
4. Fifteen days ago the patient went to the Emergency Room for an ruptured appendix. The patient is here in
my office today for redness and inflammation of his arm from a tattoo that he received a month ago. He has
not had any vomiting or diarrhea. He has noticed some greenish color fluid coming from the inflamed area.
www: [Link] Page 1
He thinks he has a fever but did not take his temperature. Exam reveals skin of his arm is red, swelling and
warm to touch. I have prescribed an antibiotic and he is to keep the area dry and apply Neosporin 3 times per
day. He did recently have his appendix removed but I do not believe it is related to his surgery. What modifier
would the doctor use for this office visit?
a. 24
b. 25
c. 51
d. 79
5. Dr. Jones performed an emergency hernia repair. The patient returned to his home town physician, Dr. Smith
for follow-up care. How would both doctors report their services?
a. Dr. Jones 49655–54, Dr. Smith, 49655-55
b. Dr. Jones 49655, Dr. Smith, 49655-55
c. Dr. Jones 49655, Dr. Smith, 99213
d. Dr. Jones 49655-54, Dr. Smith, 62
6. If the physician had to stop in the middle of a procedure because the patient’s blood pressure was
dropping and they could not stabilize it, which modifier would you use?
a. 23
b. 52
c. 53
d. None would be used
7. Patient comes into the office with ear pain. After further examination it is revealed the patient has severe
cerumen impaction. The doctor removes the ear wax from both ears. What modifier is used with removal
of impacted cerumen for both ears?
a. 25
b. 50
c. 51
d. None
8. This Medicare patient is having laboratory work that Medicare will not reimburse the patient because the
www: [Link] Page 2
diagnosis does not support the test being ordered. The patient was informed Medicare will not pay, the
patient signed the ABN and wanted the procedure performed. What modifier would be added to the
laboratory code?
a. 52
b. 90
c. 92
d. GA
9. This 58 year-old male patient is having a out-patient procedure in a Ambulatory Surgery Center.
Prior to the administration of anesthesia the patient’s blood pressure becomes elevated and the surgery
is cancelled. What modifier would be used?
a. 73
b. 74
c. 52
d. 53
10. Nurse is preparing the patient for his colonoscopy. Patient informs the nurse he has taken all steps necessary
for his prep. The doctor performs the colonoscopy but after advancing the scope past the splenic flexure the
physician must stop the procedure because the patient did not fully cleanse the large intestine and he is
unable to continue the procedure. What modifier would be attached to the procedure?
a. 52
b. 53
c. 58
d. 76
www: [Link] Page 3