by Lori | Jun 17, 2010 | CPT modifiers
HCPCS 2010 Discontinued Codes Deleted Codes/ Modifier Short Description A4365 Adhesive remover wipes A6200 Compos drsg <=16 no border A6201 Compos drsg >16<=48 no bdr A6202 Compos drsg >48 no border A6542 Gc stocking custom made A6543 Gc...
by Lori | Jun 17, 2010 | CPT modifiers
Ambulance Service Modifiers For ambulance services, one-digit modifiers are combined to form a two-digit modifier that identifies the ambulance’s place of origin with the first digit, and the ambulance’s destination with the second digit. One digit...
by Lori | Jun 14, 2010 | CPT modifiers
Diagnostic Procedures/Laboratory Modifiers GG Diagnostic Mammography – Use to indicated performance and payment of a screening mammography and diagnostic mammography on same patient, on the same day. LT Left Side – Used to identify procedures...
by Lori | Jun 14, 2010 | CPT modifiers
Anesthesia Code Modifiers AA Anesthesia services personally performed by anesthesiologist – Distinct fee schedule amount. Affects payment. AD Medical supervision by a physician: More than 4 concurrent anesthesia procedures -. Distinct fee schedule amount....
by Lori | Jun 14, 2010 | CPT modifiers
Out-patient Hospital/Ambulatory Surgical Center (ASC) Modifiers 73 Discontinued out-patient hospital/ambulatory surgical center (ASC) procedure prior to the administration of anesthesia – Due to extenuating circumstances or those that threaten the well being of...
by Lori | Jun 14, 2010 | CPT modifiers
Other Modifiers for Medicare Claims 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...
by Lori | Jun 14, 2010 | CPT modifiers
Part – A Level I Modifiers 59 Description Distinct procedural service. Required for Claims Hospital Outpatient Prospective Payment System (OPPS), Free-Standing Physical Therapy/Speech-language Pathology, Skilled Nursing Facility, End Stage Renal Disease...
by Medical Billing | Jun 13, 2010 | CPT modifiers
Bilateral services are procedures performed on both sides of the body during the same operative session or on the same day. The modifier “50” is not applicable to procedures that are bilateral by definition or their descriptions include the terminology as...
by Lori | Jun 11, 2010 | CPT modifiers
Part – A Level I Modifiers 73 Description Discontinued outpatient hospital procedure PRIOR to the administration of anesthesia. Required for Claims Hospital Outpatient Prospective Payment System (OPPS) Type of Bill: 13X Coding Guidelines Applies to...
by Lori | Jun 11, 2010 | CPT modifiers
Physician Quality Reporting Initiative (PQRI) Modifiers Performance Measure Exclusion Modifiers indicate that an action specified in the measure was not provided due to medical, patient, or system reason(s) documented in the medical record. Performance measure...
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