by Lori | Dec 19, 2010 | CPT modifiers
CPT G0430 & G0430 QW G0430 – Drug screen, qualitative; multiple drug classes other than chromatographic method, each procedure This HCPCS code must be used when reporting any qualitative, non-chromatographic, multiple drug class assays. The code is reported only...
by Lori | Dec 16, 2010 | CPT modifiers
CMS Guidance on Qualitative Drug Testing March 25, 2010 On March 19, the Centers for Medicare and Medicaid Services (CMS) issued Transmittal 653, Change Request 6852, providing special instructions for billing Qualitative drug tests using the following specific HCPCS...
by Lori | Dec 15, 2010 | CPT modifiers
Modifier/MPFSDB Fact Sheet The Medicare Physician Fee Schedule Database (MPFSDB) is a file that provides a basis of payment under Medicare Part B. It is provided to all carriers nationally to assure consitent claims processing for the Centers for Medicare &...
by Lori | Dec 11, 2010 | CPT modifiers
Informational Only Modifiers The following modifiers are Informational Only and should be placed after all pricing modifiers. Modifier 99 has specific instructions on its own separate fact sheet. AQ Services provided in a Health Professional Shortage Area (HPSA) CB...
by Lori | Dec 7, 2010 | CPT modifiers
Hospice billing overview Services Provided to Hospice Patients Medicare beneficiaries entitled to hospital insurance (Part A) who have terminal illnesses and a life expectancy of six months or less have the option of electing hospice benefits in lieu of standard...
by Lori | Dec 4, 2010 | 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 | Dec 2, 2010 | CPT modifiers
Avoiding Duplicate Denials When Billing with Modifier 76 Modifier 76 is defined by the Current Procedural Terminology as “repeat procedure by same physician.” This modifier is appropriate when necessary to report repeat procedures performed on the same...
by Lori | Dec 1, 2010 | 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 | Nov 30, 2010 | CPT modifiers
When can the surgeon be paid for a pre-op visit? • For the evaluation of the problem, if the procedure is not done that day or the next day. • For the evaluation of the problem, if it is a minor procedure with a zero or ten day global period, when the Evaluation and...
by Medical Billing | Nov 29, 2010 | CPT modifiers
Repeat Procedures Modifier 76: Denotes a repeat procedure by the same physician. Should be submitted only when a procedure is repeated on the same date of service by the same physician Modifier 77: Denotes a repeat procedure by another physician. Should be submitted...
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