by Medical Billing | Jul 22, 2016 | CPT modifiers
Modifiers to be used for Part B Program Category Modifier Code Description PART – B Physician Quality Reporting 1P Physician Quality Reporting System – Performance measure exclusion modifier due to medical reasons. PART – B Surgical 22...
by Medical Billing | Jul 22, 2016 | CPT modifiers
Carriers may receive claims for surgical procedures with more than one surgical modifier. For example, since the global fee concept applies to all major surgeries, carriers may receive a claim for surgical care only (modifier “-54”) for a bilateral surgery (modifier...
by Medical Billing | Jul 19, 2016 | CPT modifiers
Allowable Adjustments Effective January 1, 2000, the replacement code (CPT 69990) for modifier -20 – microsurgical techniques requiring the use of operating microscopes may be paid separately only when submitted with CPT codes: 61304 through 61546 61550 through...
by Lori | Jul 15, 2016 | CPT modifiers
Modifier KX is used to confirm requirements outlined in the appropriate Local Coverage Determination (LCD), are met for the procedure billed. By adding modifier KX to a claim, you are stating that your claim has met specific documentation requirements in the policy,...
by Medical Billing | Jul 13, 2016 | CPT modifiers
Coding a Facility Claim Procedure, Modifier and Diagnosis Codes – A critical element in claims filing is the submission of current and accurate codes to reflect the services provided. Correct coding is essential for correct reimbursement. We...
by Lori | Jul 9, 2016 | CPT modifiers
Modifier 77 Key Points/Instruction/What you need to know Modifier 77 is used to report a repeat procedure by another physician and is appended to the repeat procedure to: • Report the same service provided by another physician. • Indicate that a basic procedure or...
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