Medical Coding Practice Test 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

Which of the following is an example of a modifier in CPT coding?

Modifier 15

Modifier 25 - Significant, separately identifiable evaluation and management service

Modifier 25 is identified as a significant modifier in CPT coding that indicates a separately identifiable evaluation and management service. This modifier is particularly important because it allows coders to illustrate that a patient received an evaluation and management service on the same day as a procedure or other service, ensuring that both are billed appropriately.

For example, if a patient visits a physician for a minor procedure but also discusses other unrelated medical issues, applying Modifier 25 acknowledges that the evaluation and management component of the visit is distinct from the procedure itself. The presence of Modifier 25 in the coding indicates to insurance providers that there are multiple services provided, which warrants separate reimbursement.

In contrast, while other modifiers like 15, 30, and 50 do exist, they relate to different aspects, such as certain circumstances of procedures or surgeries but do not specifically denote a significant, separately identifiable evaluation and management service. Thus, Modifier 25's role in distinguishing between services makes it the correct choice in this context.

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Modifier 30

Modifier 50

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