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E < 95 of 224 > Аа (1) B. LO 6.4 A forty-year-old established female patient is having an annual checkup. During the examination, her physician identifies a lump in her left breast. The physician considers this a significant finding and performs the key components of a problem-focused E/M service. These four codes and modifier should be reported. To which code is the modifier appended? CPT codes: 99212, 99396 ICD codes: 200.00, N63.20 Modifier: 25 Case 6.2 Calculating Expected Charges Using the sample relative value units and GPCIs shown in Thinking It Through 6.8 and a conversion factor of $34.7315, calculate the expected charge for each of the following services: A. LO 6.6, LO 6.7 CPT 99204 in Galveston, TX B. LO 6.6, LO 6.7 CPT 33502 in Manhattan, NY C. LO 6.6, LO 6.7 CPT 99203 in Columbus, OH
Mc х - Student Portal - Financ x + DX Learning Unit 2- Applyi x Class AHS2150 Medica * | M Your question was ans x Applying Your knowled X C answers Search со prod.reader-ui.prod.mheducation.com/epub/sn_524b/data-uuid-693e83a58e65475583ab0047ffoff955 Ba Bookmarks Administrative Med... AHA M Question Mode: Fil... E < 95 of 224 > Аа Page 216 <) A. LO 6.6–6.9 Insurance Plan: Mountville Health Plan; patient has met annual deductible of $250; 80-20 coinsurance Services: CPT 99203, 90700 Payer Reimbursement: Patient Charge: B. LO 6.6–6.9 Insurance Plan: Mountville Health Plan; patient has paid $125 toward an annual deductible of $500; 80- 20 coinsurance Services: CPT 99215, 93040, 94010 Payer Reimbursement: Patient Charge: C. LO 6.6–6.9 Insurance Plan: Ringdale Medical Plan A; no deductible or coinsurance; copayment of $5/PAR; $25/NonPAR Services: CPT 99212 Payer Reimbursement: Patient Charge: D. LO 6.6-6.9 Insurance Plan: Ringdale Medical Plan B; patient has met annual deductible of $300; 80-20 coinsurance Services: CPT 99215 Payer Reimbursement: Patient Charge: E. LO 6.6–6.9 Insurance Plan: Medicare; annual deductible has been met by patient о Sign out 5:45