Course Code: REL-RCC-AMA-003
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2026
Learning Objectives:
Explain the purpose and use of the modifiers.
Distinguish between CPT modifiers and HCPCS modifiers.
Determine when a modifier is required.
Apply the guidelines to determine the most appropriate modifier.
Correctly assign modifiers to procedures and services.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview of Modifiers
What Are Modifiers?
Categories of Modifiers
Types of Modifiers
Use of Modifiers
NCCI-Associated Modifiers
Hospital Use of Modifiers
Professional and Technical Components
Modifier Examples: 26 and TC
Review
Section 3: Anatomical Modifiers
Anatomical Modifiers
Left, Right, and Bilateral Modifiers
Laterality Modifier Use
Review
Section 4: Anesthesia Modifiers
Anesthesia Modifiers
Anesthesia Specific Modifiers
Common Anesthesia CPT Modifiers
Review
Section 5: E/M Modifiers
E/M Modifiers
E/M and Surgical Modifiers
Procedures With E/M Codes
Review
Section 6: Surgical Modifiers
Surgical Modifiers
Hospital Outpatient Surgical Modifiers
Global Surgical Procedures
Co-Surgery and Surgical Teams
Surgical Procedure Modifiers
Review
Section 7: Conclusion
Course Summary
Course Contributors
Resources
References
Reviewer: Cate King, JM, CPCO, CCS, CCS-P, CHTS-PW, CPC, CIC, CRC, CPC-I
Cate is the Curriculum Designer for Revenue Cycle and Coding at Relias, where she leads the development of regulatory and coding compliance training for healthcare professionals. She is a Certified Professional Compliance Officer, holds a Bachelor of Science in Criminal Justice from the University of Central Florida, and a Juris Master (Law) degree with a specialized concentration in Healthcare Regulations from Florida State University College of Law. Cate has over 25 years of experience in healthcare compliance, specializing in documentation and coding integrity, and education for the healthcare workforce.
Target Audience:
The target audience for this course is: Healthcare Billing and Coding; in the following settings: Hospitals: Acute.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
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All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.