by Lori | Jun 4, 2010 | CPT modifiers
Part – A Level I Modifiers – 58 Description A staged or related procedure or service by the same physician during the post-operative period of a previously performed procedure. Required for Claims Hospital Outpatient Prospective Payment System (OPPS)...
by Lori | Jun 4, 2010 | CPT modifiers
End Stage Renal Disease (ESRD) Modifiers CB Services ordered by a dialysis facility physician as part of the ESRD beneficiary’s dialysis benefit. AX Item furnished in conjunction with dialysis services. CD AMCC test has been ordered by an ESRD facility or MCP...
by Lori | Jun 4, 2010 | CPT modifiers
AI Principal Physician of Record. Used by the admitting or attending physician who oversees the patient’s care, as distinct from other physicians who may be furnishing specialty care. 24 Unrelated E/M service by the same physician during a post op period –...
by Medical Billing | Jun 2, 2010 | CPT modifiers
Non-neoplastic hematology/coagulation 3A Factor V (Leiden, others) (Hypercoagulable state) 3B FACC (Fanconi anemia) 3C FACD (Fanconi anemia 3D Beta globin (Thalassemia) 3E Alpha globin (Thalassemia) 3F MTHFR (Elevated homocysteine) 3G Prothrombin (Factor II, 20210A)...
by Medical Billing | Jun 2, 2010 | CPT modifiers
6A Dystrophin (Duchenne/Becker muscular dystrophy) 6B DMPK (Myotonic dystrophy, type 1) 6C ZNF-9 (Myotonic dystrophy, type 2) 6D SMN (Autosomal recessive spinal muscular atrophy) 6Z Muscular, not otherwise specified Metabolic, other 7A Apolipoprotein E (Cardiovascular...
by Medical Billing | Jun 2, 2010 | CPT modifiers
5A Aspartoacylase A (Canavan disease) 5B FMR-1 (Fragile X, FRAZA, syndrome) 5C Frataxin (Freidreich’s ataxia) 5D Huntington (Huntington’s disease) 5E GABRA (Prader Willi-Angelman syndrome) 5F Connexin-26 (GJB2) (Hereditary deafness) 5G Connexin-32 (X-linked...
by Medical Billing | Jun 2, 2010 | CPT modifiers
This listing of modifiers is intended for reporting with molecular laboratory procedures related to genetic testing. Genetic test modifiers should be used in conjunction with CPT and HCPCS codes to provide diagnostic granularity of service to enable provider to...
by Medical Billing | Jun 2, 2010 | CPT modifiers
25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service 27 Multiple Outpatient Hospital E/M Encounters on the Same Date 50 Bilateral Procedure 52 Reduced Services 58 Staged or...
by Lori | May 31, 2010 | CPT modifiers
Some of the most common modifiers used in the ASC are: Modifier 73: Discontinued Outpatient Hospital/ASC Procedure Prior to the Administration of Anesthesia Due to extenuating circumstances or those that threaten the well being of the patient, the...
by Lori | May 31, 2010 | CPT modifiers
Use of the CR Modifier and DR Condition Code for Disaster/Emergency-Related Claims Modifier CR Catastrophe/Disaster Correct Use This modifier must be submitted only when an item or service is impacted by an emergency or disaster. Use for both...
Recent Comments