Procedure code 14040, 14000, 14020

CODE DESCRIPTION MAXFEE 14000-2 Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less $773.91 14001-2 defect 10.1 sq cm to 30.0 sq cm $1,136.94 14020-2 Adjacent tissue transfer or rearrangement, scalp, arms, legs; defect 10 sq cm or less $764.11...

What is Customary charges

The Customary Charge The customary charge is the amount that best represents the actual charges made for a given medical service or by other persons who supply other medical and health services to the general public. Therefore, obtain information on the customary...

Criteria for Determining Reasonable Charge

There are two criteria in the Act that must be considered in determining the reasonable charge for a service. They are: • The customary charges for similar services generally made by the physician or other person furnishing such services; and • The prevailing charges...

Billing Guide Modifer KX and JW

Modifier KX The KX modifier is a multipurpose, informational modifier and can be used to identify services for transgender, ambiguous genitalia, and hermaphrodite beneficiaries in addition to its other existing uses. Physicians and non-physician practitioners should...