by Lori | May 6, 2010 | CPT modifiers
KX — SPECIFIC REQUIRED DOCUMENTATION ON FILE. (EFFECTIVE DATE 7/1/2002) This modifier may be used to indicate that specific required documentation is on file in the patient’s medical record. Documentation must be submitted upon request. Applicable...
by Lori | May 5, 2010 | CPT modifiers
DME MAC Jurisdiction C Modifier BP — THE BENEFICIARY HAS BEEN INFORMED OF THE PURCHASE AND RENTAL OPTIONS AND HAS ELECTED TO PURCHASE THE ITEM. This modifier is used when you have discussed the purchase/rent option with the beneficiary, and the beneficiary has...
by Lori | May 5, 2010 | CPT modifiers
MODIFIERS used for Mammography Services A radiologist who interprets a screening mammography is allowed to order and interpret additional films based on the results of the screening mammogram while the beneficiary is still at the facility for the screening exam. Where...
by Lori | May 5, 2010 | CPT modifiers
Payment of DMEPOS Items Based on Modifiers The following modifiers were added to the HCPCS to identify supplies and equipment that may be covered under more than one DMEPOS benefit category: AU Item furnished in conjunction with a urological, ostomy, or...
by Lori | May 5, 2010 | CPT modifiers
Michigan Medicaid for DMEPOS This document contains information for interpreting the Michigan Medicaid Databases listed for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). The database contains the covered services for the following...
by Lori | Apr 30, 2010 | CPT modifiers
Surgical – 80 Modifier 80 Assistant Surgeon: Surgical assistant services may be identified by adding the modifier 80 to the usual procedure number(s). This modifier should be reported to identify surgical assistant services performed in a...
by Lori | Apr 30, 2010 | CPT modifiers
Surgical – 66 Modifier 66 Surgical Team: Under some circumstances, highly complex procedures (requiring the concomitant services of several physicians, often of different specialties, plus other highly skilled, specially trained personnel and various...
by Lori | Apr 30, 2010 | CPT modifiers
Surgical – 73 Modifier 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 the patient, the...
by Lori | Apr 30, 2010 | CPT modifiers
Surgical – 62 CO surgeon Modifier OVERVIEW The Co-Surgeon and Team Surgeon Policy identifies which procedures are eligible for Co-Surgeon and Team Surgeon services as identified by the Centers for Medicare and Medicaid Services (CMS) National Physician Fee...
by Lori | Apr 30, 2010 | CPT modifiers
Surgical – 54 Modifier 54 Surgical Care Only: When one physician performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding the modifier 54 to the usual procedure code. Services...
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