by Lori | Sep 8, 2016 | CPT modifiers
New coding requirements related to Healthcare Common Procedure Coding System (HCPCS) modifier -59 could impact your reimbursement. Change Request (CR) 8863 notifies MACs and providers that the Centers for Medicare and Medicaid Services (CMS) is establishing four new...
by Lori | Jul 23, 2016 | CPT modifiers
Modifier 99 Multiple Modifiers (same line, same code) Definition: • Multiple Modifiers are required on one line of service. Appropriate Usage: • Reportable on all procedure codes • Report modifier 99 in the first modifier position on the line of service o list...
by Lori | Jul 23, 2016 | CPT modifiers
Modifier AQ Fact Sheet Definition: • Services provided in a Health Professional Shortage Area (HPSA) Appropriate Usage: • For dates of service on or after January 1, 2006, AQ, replaces the two existing modifiers, QB and QU, for physician services provided in HPSAs •...
by Lori | Jul 23, 2016 | CPT modifiers
INVALID DIAGNOSIS CODES – Effective October 1, 2010 Diagnosis Code Description 275.0 Disorders of iron metabolism 276.6 Fluid overload 287.4 Secondary thrombocytopenia 488.0* Influenza due to identified avian influenza virus 488.1* Influenza due to identified...
by Lori | Jul 15, 2016 | CPT modifiers
Modifier KX is used to confirm requirements outlined in the appropriate Local Coverage Determination (LCD), are met for the procedure billed. By adding modifier KX to a claim, you are stating that your claim has met specific documentation requirements in the policy,...
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