Medical Billing CPT Modifiers And List Of Medicare Modifiers.

CPT 97140, 97530, 97112, 97760, 97750 – Therapeutic procedure

by Lori | Sep 28, 2015 | CPT modifiers

Procedure CODE AND Description 97140 – Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes 97530 – Therapeutic activities, direct (one-on-one) patient contact (use of...

CLIA LAB Code CPT Update – 80163, 80165, 81246, 81288, 81313,81410,81519, 83006, 87505,87506

by Lori | Sep 16, 2015 | CPT modifiers

Code 80163 (Digoxin; free). Industry Recommendation: Crosswalk to Code 80162 (Digoxin). CMS Recommendation: Crosswalk to Code 80162 (Digoxin). Rationale: CMS agrees with the commenters recommending the crosswalk to Code 80162,based on similarities in function. Code...

New Fees for Procedure Code 75946

by Lori | Sep 7, 2015 | CPT modifiers

Current Procedural Terminology (CPT) defines 75946 as: “Intravascular ultrasound (non-coronary vessel), radiological supervision and interpretation; each additional non-coronary vessel (list separately in addition to code for primary procedure” During a routine review...

Update on Medicare Add-on Code Edits

by Lori | Sep 7, 2015 | CPT modifiers

CMS has added effective dates and deletion dates, where appropriate, for each of the Medicare Add-on Code Edits to aid in determining the active period of an add-on code edit for Medicare Services. The earliest effective date April 1, 2013 coincides with the...

CPT modifier GT, HT, HQ, GQ, T1016, H2011

by Medical Billing | Sep 2, 2015 | CPT modifiers

Modifier Description GQ Via Asynchronous Telecommunications systems GT Via Interactive Audio and Video Telecommunications systems Modifier GT BILLING AND PAYMENT FOR PROFESSIONAL SERVICES FURNISHED VIA TELEHEALTH Submit claims for telehealth services using the...

Modifier 59 and New Modifiers XE, XS, XP, XU with example

by Medical Billing | Aug 26, 2015 | CPT modifiers

The Medicare National Correct Coding Initiative (NCCI) * includes edits that define when two Healthcare Common Procedure Coding System (HCPCS)/ Current Procedural Terminology (CPT) codes should not be reported together. A Correct Coding Modifier Indicator (CCMI)...

What is National Correct Coding Initiative Edits

by Lori | Aug 26, 2015 | CPT modifiers

DEFINITIONS Correct Coding Initiative: A system of coding edits developed by CMS in conjunction with AdminaStar Federal, Inc. to be utilized nationally by all Medicare carriers. The code edits were developed based on review of CPT™ code descriptors, CPT coding...

NEW LAB Codes CPTs – replaced CPT codes 2015

by Lori | Aug 18, 2015 | CPT modifiers

Test 2014 Code 2015 Code Descriptor Acetominophen 82003 G6039 Acetominophen Alcohol (ethanol); any specimen except breath (including ethyl alcohol) 82055 G6040 Alcohol (ethanol); any specimen except breath Alkalodis, urine, quantitative (including quantitative...

Procedure code 87507, 87623,87624,87625, 87806, 89337, G0464 – LAB CODE NEW UPDATE

by Lori | Aug 4, 2015 | CPT modifiers

Code 87507 (Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified...

Physician supervision of diagnostic procedures

by Lori | Jul 29, 2015 | CPT modifiers

This field provides levels of physician supervision required for diagnostic tests payable under the physician fee schedule. General supervision means the procedure is furnished under the physician’s overall direction and control, but the physician’s presence is not...