by Lori | May 25, 2010 | CPT modifiers
43245 Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie) 43248 Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over...
by Lori | May 24, 2010 | CPT modifiers
Part – A Level I Modifiers 50 – Bilateral Procedure Description Bilateral Procedure. This modifier is used to report bilateral procedures that are performed during the same session. Required for Claims Hospital Outpatient Prospective Payment System...
by Lori | May 24, 2010 | CPT modifiers
Part – A Level I Modifiers 27 Description Multiple Outpatient Hospital Evaluation and Management Encounters on the Same Date Required for Claims Hospital Outpatient Prospective Payment System (OPPS) Type of Bill: 13X Coding Guidelines Modifier 25...
by Lori | May 20, 2010 | CPT modifiers
Level I Modifiers 25 Description : Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service Required for Claims Hospital Outpatient Prospective Payment System (OPPS) Type of...
by Lori | May 20, 2010 | CPT modifiers
QB Physician Providing a Service in a Rural HPSA QK Medical Direction of Two, Three or Four Concurrent Anesthesia Procedures Involving Qualified Individuals QL Patient pronounced dead (Ambulance)...
by Lori | May 12, 2010 | CPT modifiers
DME MAC Jurisdiction C Modifier KG — DMEPOS ITEM SUBJECT TO DMEPOS COMPETITIVE BIDDING PROGRAM NUMBER 1 (EFFECTIVE DATE 07/01/2007) KK — DMEPOS ITEM SUBJECT TO DMEPOS COMPETITIVE BIDDING PROGRAM NUMBER 2 (EFFECTIVE DATE 07/01/2007) KU — DMEPOS ITEM...
by Lori | May 12, 2010 | CPT modifiers
DME MAC Jurisdiction C Modifier KB — BENEFICIARY REQUESTED UPGRADE FOR ABN, MORE THAN 4 MODIFIERS IDENTIFIED ON CLAIM. (EFFECTIVE DATE 1/1/2003) KT — BENEFICIARY RESIDES IN A COMPETITIVE BIDDING AREA AND TRAVELS OUTSIDE THAT COMPETITIVE BIDDING AREA AND...
by Lori | May 12, 2010 | CPT modifiers
DME MAC Jurisdiction C Modifier KH — DMEPOS ITEM, INITIAL CLAIM, PURCHASE OR FIRST MONTH RENTAL.This modifier is used for a capped rental DME item. When using the KH modifier, you are indicating you are billing for the first month of the capped rental period. KJ...
by Lori | May 12, 2010 | CPT modifiers
DME MAC Jurisdiction C Modifier KD — DRUG OR BIOLOGICAL INFUSED THOUGH DME. (EFFECTIVE DATE 01/01/04) EM — EMERGENCY RESERVE SUPPLY (FOR ESRD BENEFIT ONLY). EA — ERYTHROPOETIC STIMULATING AGENT (ESA) ADMINISTERED TO TREAT ANEMIA DUE TO ANTI-CANCER...
by Lori | May 12, 2010 | CPT modifiers
DME MAC Jurisdiction C Modifier A8 — DRESSING FOR EIGHT WOUNDS. (EFFECTIVE DATE 1/1/2003)Surgical dressing codes billed without modifiers A1-A9 (see Coding Guidelines) are noncovered under the Surgical Dressings benefit. Certain dressings may be covered under...
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