by Lori | May 2, 2011 | CPT modifiers
Modifier 58 – Staged/related procedure by the same physician during a postoperative period The following rules apply: • Apply modifier 58 to surgical procedures that were (a) planned or anticipated at the time of the original surgery, (b) more...
by Lori | Apr 26, 2011 | CPT modifiers
Modifier 78 – Unplanned return to the operating room by the same physician following the initial procedure for a related procedure during the postoperative period The following rules apply: • Apply modifier 78 to unplanned or unanticipated surgical...
by Lori | Apr 21, 2011 | CPT modifiers
When Not to Use Modifiers 24, 58, 78, and 79 Providers are not separately reimbursed for providing routine postoperative care during the postoperative period, even if the procedure is reported with a postoperative modifier. Routine postoperative care includes the...
by Lori | Apr 17, 2011 | CPT modifiers
When and How Do I Use Modifier -51? What is Modifier -51 anyway? Modifier -51, Multiple Procedures This modifier is used when reporting multiple procedures performed by the same physician on the same day. Do not use this modifier for “add-on” codes (see...
by Lori | Apr 11, 2011 | CPT modifiers
2011 CPT CHANGES Codes 90465, 90466, 90467,90468 deleted, new replacement codes added for patients 18 years of age and under New codes to report vaccine administration 90460 Immunization administration through 18 years of age via any route of administration,...
by Lori | Apr 8, 2011 | CPT modifiers
Pathology & Laboratory–15 New & 13 Deleted codes New CPT codes 80104 – DRUG SCRN QUAL 1+ CLASS NONCHROMOTOGRAPHIC EA 82930 – GASTRIC ACID ANALYIS W/PH EA SPECIMEN 83861 – MICROFLUID ANALYSIS TEAR OSMOLARITY 84112 – PLACENTAL ALPHA...
by Lori | Apr 4, 2011 | CPT modifiers
CS-Modifier – 2011 new modifier Modifier CS: Gulf Oil 2010 Spill Related Long description: “Item or service related, in whole or in part, to an illness, injury, or condition that was caused by or exacerbated by the effects, direct or indirect, of the 2010 oil...
by Lori | Apr 3, 2011 | CPT modifiers
AZ & PT – New Modifier for 2011 Modifier AZ: Physician service in dental HPSA Long description: “Physician providing a service in a Dental Health Professional Shortage Area for the purpose of an Electronic Health Record Incentive payment.” In order to allow...
by Lori | Apr 1, 2011 | CPT modifiers
Qualitative Drug Testing G0431 & G0431 QW G0431 – Drug screen, qualitative; single drug class method (e.g., immunoassay, enzyme assay), each drug class This HCPCS code must be used when reporting any qualitative single drug or drug class assay. This includes...
by Lori | Mar 28, 2011 | CPT modifiers
Using the Correct Place of Service Code for Professional Component Claims Rendered in a Hospital Setting Due to different referral and authorization requirements based on where services are rendered, it is important that your claim is submitted with the correct Place...
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