by Lori | Sep 24, 2010 | CPT modifiers
Assistant at Surgery Modifier Fact Sheet Definition: • An “assistant at surgery” is a physician who actively assists the physician in charge of a case in performing a surgical procedure. The “assistant at surgery” provides more than just ancillary services. Facts: •...
by Lori | Sep 19, 2010 | CPT modifiers
AP Determination of refractive state was not performed in the course of diagnostic ophthalmological examination. No effect on payment. AQ Physician providing a service in an unlisted health professional shortage area (HPSA). For dates of service on or after January 1,...
by Lori | Sep 14, 2010 | CPT modifiers
What is CPT Modifiers CPT Modifiers provide additional information to payers to make sure your provider gets paid correctly for services rendered. CPT modifiers are used to provide additional information to insurance payers for procedures or services that have...
by Lori | Sep 8, 2010 | CPT modifiers
Modifier 78 Fact Sheet Definition: • Indicates the return to an operating room for a related procedure during the post-operative period Appropriate Usage: • Surgery procedure codes with 010 or 090 global periods on the Medicare Physician Fee Schedule Database • To...
by Lori | Sep 8, 2010 | CPT modifiers
Modifier 79 Fact Sheet Definition: • Unrelated procedure by the same physician during the post-operative period Appropriate Usage: • To describe an unrelated procedure performed during the post-operative period of the original procedure. • The two procedures are...
by Lori | Sep 5, 2010 | CPT modifiers
Modifier 76 Fact Sheet Definition: • Repeat Procedure by the Same Physician; use when it is necessary to report repeat procedures performed on the same day. Appropriate Usage: • On procedure codes that cannot be quantity billed • Report each service on a separate...
by Lori | Sep 5, 2010 | CPT modifiers
Modifier 66 Fact Sheet Definition: • If a team of surgeons (more than two surgeons of different specialties) is required to perform a specific procedure, each surgeon bills for the procedure with a modifier “-66.” Appropriate Use: • The MPFSDB identifies certain...
by Lori | Aug 28, 2010 | CPT modifiers
Modifier 62 Fact Sheet Definition: • Two surgeons (each in a different specialty) are required to perform a specific procedure Appropriate Use: • If two surgeons (each in a different specialty) are required to perform a specific procedure, each surgeon bills for the...
by Lori | Aug 26, 2010 | CPT modifiers
Modifier 58 Staged or Related Procedure or Service by the Same Physician During the Postoperative Period Definition: • Indicates a staged or related procedure or service by the same physician during the postoperative period Modifier “-58” (Staged or related...
by Lori | Aug 26, 2010 | CPT modifiers
Modifier 59 Fact Sheet Definition: • Distinct Procedural Service identifies procedures/services not normally reported together, but appropriately billable under the circumstances. Appropriate Usage: • Documentation indicates two separate procedures performed on the...
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