by Lori | Jul 17, 2015 | CPT modifiers
Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens CR 9066 revises the payment of travel allowances when billed on a per mileage basis using HCPCS Code P9603 and when billed on a flat rate basis using HCPCS Code P9604 for CY...
by Lori | Jul 4, 2015 | CPT modifiers
Medicare Part B covers certain vaccinations including pneumococcal vaccines. For services furnished on or after May 1, 1981, through September 18, 2014, the Medicare Part B program covered pneumococcal pneumonia vaccine and its administration when furnished in...
by Lori | Jun 22, 2015 | CPT modifiers
Bilateral surgery – modifier 50 This field provides an indicator for services subject to a payment adjustment. 0 — 150 percent payment adjustment for bilateral procedures does not apply. If procedure is reported with modifier -50 or with modifiers RT and...
by Lori | Jun 9, 2015 | CPT modifiers
AE Registered Dietician AF Specialty Physician AG Primary Physician AH Clinical Psychologist AI Principal Physician of Record AJ Clinical Social Worker...
by Lori | May 28, 2015 | CPT modifiers
22 – Increased Procedural Services: When the work required to provide a service is substantially is greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. Documentation must support the substantial...
by Lori | May 6, 2015 | CPT modifiers
Modifier & Description AQ – Service performed in a Health Professional Shortage Area. This modifier is used by physicians to indicate the services reported were rendered in a qualified Health Professional Shortage Area (HPSA)...
by Lori | Apr 23, 2015 | CPT modifiers
Modifier Description 50 – Bilateral Procedure: Unless otherwise identified in the listings, bilateral procedures that are performed at the same operative session should be identified by adding the modifier 50 to the appropriate five...
by Lori | Apr 7, 2015 | CPT modifiers
DEFINITION OF A GLOBAL SURGICAL PACKAGE The global surgical package, also called global surgery, includes all the necessary services normally furnished by a surgeon before, during, and after a procedure. Medicare payment for a surgical procedure includes the...
by Lori | Mar 26, 2015 | CPT modifiers
Modifiers indicate a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code. When selecting the appropriate modifier to be reported with your claim, please ensure that the modifier is valid...
by Medical Billing | Mar 11, 2015 | CPT modifiers
Recent data analysis pertaining to critical care services has identified that First Coast Service Options (First Coast) is at a high risk for claim payment error. The error is based on potential overutilization and/or abuse of code 99291, which is defined in...
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