by Lori | Jun 8, 2010 | CPT modifiers
Use of the CR Modifier and DR Condition Code for Disaster/Emergency-Related Claims In order to facilitate claims processing and track services and items provided to beneficiaries during disaster/emergency situations, a modifier and condition code have been established...
by Lori | Jun 7, 2010 | CPT modifiers
Part – A Level I Modifiers 91 Description Repeat clinical diagnostic laboratory test performed on the same day. (Separate Specimens Taken in Separate Encounters) Required for Claims Critical Access Hospitals (CAHs); Outpatient Prospective Payment System...
by Lori | Jun 7, 2010 | CPT modifiers
Some of the most common modifiers used in the ASC are: Modifier 74: Discontinued Outpatient Hospital/ASC Procedure After Administration of Anesthesia Due to extenuating circumstances or those that threaten the well being of the patient, the physician may...
by Lori | Jun 7, 2010 | CPT modifiers
Some of the most common modifiers used in the ASC are: Modifier 59: Distinct Procedural Service Under certain circumstances, the physician may need to indicate that a procedure or service was distinct or independent from other services performed on the same day....
by Lori | Jun 4, 2010 | CPT modifiers
Part – A Level I Modifiers – 58 Description A staged or related procedure or service by the same physician during the post-operative period of a previously performed procedure. Required for Claims Hospital Outpatient Prospective Payment System (OPPS)...
by Lori | Jun 4, 2010 | CPT modifiers
End Stage Renal Disease (ESRD) Modifiers CB Services ordered by a dialysis facility physician as part of the ESRD beneficiary’s dialysis benefit. AX Item furnished in conjunction with dialysis services. CD AMCC test has been ordered by an ESRD facility or MCP...
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