by Lori | Feb 2, 2011 | CPT modifiers
Musculoskeletal System – 5 New Codes 22551 – ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 22552 – ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC 29914 – ARTHROSCOPY HIP W/FEMOROPLASTY 29915 – ARTHROSCOPY HIP W/ACETABULOPLASTY 29916...
by Lori | Feb 1, 2011 | CPT modifiers
New Added Codes for 2011 Evaluation and Management – 3 New Codes 99224 – Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused...
by Medical Billing | Jan 17, 2011 | CPT modifiers
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. Modifier 59 is used to identify procedures/services that...
by Lori | Jan 13, 2011 | CPT modifiers
Modifier TC Definition: • Technical Component refers to certain procedures that are a combination of a physician component and a technical component. Using modifier TC identifies the technical component. Appropriate Usage: • To bill for only the technical...
by Lori | Jan 10, 2011 | CPT modifiers
HCPCS, CPT-4 Medicine Codes and Modifiers Service or Procedure Codes or Code Ranges Required Modifiers Allowable Modifiers Medicine performed by a 90701 – 99199 – SA, SB, U7, Non-physician Medical Practitioner (NMP) (See the Non-physician Medical Practitioners section...
by Medical Billing | Jan 6, 2011 | CPT modifiers
Description for PT modifier Colorectal cancer screening test; converted to diagnostic test or other procedure. Guidelines This modifier is effective for dates of service on or after January 1, 2011 Submit this modifier with the appropriate CPT code for colonoscopy,...
by Lori | Jan 3, 2011 | CPT modifiers
When Do I Use Modifier – 59? Modifier -59 – For Distinct Procedural Service Key Points to Remember: 1. When using this modifier, Medical Documentation is vital and essential to support medical necessity. This must be well-documented on...
by Medical Billing | Dec 29, 2010 | CPT modifiers
How to use Medicare hospice modifiers in detail.
by Medical Billing | Dec 27, 2010 | CPT modifiers
Explanation of Investigation The OIG will review claims with the modifier GY to determine if the modifier is used correctly. The object of the investigation is to determine the appropriate use of the modifier and to determine if Medicare patients are unknowingly...
by Lori | Dec 20, 2010 | CPT modifiers
Pre-op visits: True or False? Are the following statements true or false? • The PCP cannot be paid to do a pre-op assessment of a Medicare patient prior to surgery because of the new consult rules. • The surgeon can never be paid to do a pre-op visit if s/he is going...
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