by Lori | Jun 22, 2010 | CPT modifiers
AQ Modifier Description : Physician Providing a Service in a Health Professional Shortage Area (HPSA) Required for Claims : Critical Access Hospitals (CAHs) Electing the Optional Payment Method (Method II) Type of Bill: 85X Coding Guidelines : For services rendered in...
by Lori | Jun 22, 2010 | CPT modifiers
AR Modifier Description : Services Furnished within a Physician Scarcity Area (PSA) Required for Claims : Critical Access Hospitals (CAHs) Electing the Optional Payment Method (Method II) Type of Bill: 85X Coding Guidelines : Services that qualify for the 5% PSA bonus...
by Lori | Jun 21, 2010 | CPT modifiers
BL Modifier Description : Outpatient Prospective Payment System (OPPS) provider purchases blood or blood products from a community blood bank or when an OPPS provider assesses a charge for blood or blood products collected in its own blood bank that reflects more than...
by Lori | Jun 21, 2010 | CPT modifiers
LEVEL II Modifiers – QB, QK, QL,QM, QN, QR, QU, QV, QY, QZ QB Physician Providing a Service in a Rural HPSA QK Medical Direction of Two, Three or Four Concurrent Anesthesia Procedures Involving Qualified Individuals...
by Lori | Jun 21, 2010 | CPT modifiers
AE Modifier Description : Services Rendered in a CAH By a Nutrition Professional /Registered Dietician Required for Claims : Critical Access Hospitals (CAHs) Electing the Optional Payment Method (Method II) Type of Bill: 85X Coding Guidelines : Applies to services...
by Lori | Jun 19, 2010 | CPT modifiers
LEVEL II Modifiers G1, G2,G3, G4,G5,G6 G1 Most Recent URR of less than 60% G2 Most Recent URR of 60% to 64.9% G3 Most Recent URR of 65% to 69.9% G4 Most Recent URR of 70% to 74.9%...
by Lori | Jun 19, 2010 | CPT modifiers
HCPCS Modifier CF Description: AMCC test has been ordered by an ESRD facility or MCP physician that is not part of the composite rate and is separately billable. Guidelines/Instructions: When submitting claims to Medicare for ESRD-related Automated Multi-Channel...
by Lori | Jun 19, 2010 | CPT modifiers
LEVEL II Modifiers AA Anesthesia services performed by anesthesiologist AE Service rendered by nutrition professional /registered dietician AF Service rendered by a speciality physician AG Service rendered by a primary care...
by Lori | Jun 17, 2010 | CPT modifiers
HCPCS 2010 Long Description Changes The following is a list of HCPCS and CPT codes that have had a change to their long descriptions for 2010. Due to Medicare’s agreement with CPT, we are unable to include the long descriptions in our publications. Please refer to the...
by Lori | Jun 17, 2010 | CPT modifiers
HCPCS 2010 Short Description Changes Code Short Description Change C9359 Implnt,bon void filler-putty G0379 Direct refer hospital observ G8456 Current smkless tobacco user G8492 Periop Care measures grp...
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