by Lori | Dec 4, 2010 | CPT modifiers
Modifier 58 – Staged/related procedure by the same physician during a postoperative period The following rules apply: * Apply modifier 58 to surgical procedures that were (a) planned or anticipated at the time of the original surgery, (b) more...
by Lori | Dec 2, 2010 | CPT modifiers
Avoiding Duplicate Denials When Billing with Modifier 76 Modifier 76 is defined by the Current Procedural Terminology as “repeat procedure by same physician.” This modifier is appropriate when necessary to report repeat procedures performed on the same...
by Lori | Dec 1, 2010 | CPT modifiers
When Not to Use Modifiers 24, 58, 78, and 79 Providers are not separately reimbursed for providing routine postoperative care during the postoperative period, even if the procedure is reported with a postoperative modifier. Routine postoperative care includes the...
by Lori | Nov 30, 2010 | CPT modifiers
When can the surgeon be paid for a pre-op visit? • For the evaluation of the problem, if the procedure is not done that day or the next day. • For the evaluation of the problem, if it is a minor procedure with a zero or ten day global period, when the Evaluation and...
by Lori | Nov 28, 2010 | CPT modifiers
E&M Codes and Modifiers Service or Procedure Codes or Code Ranges Required Modifiers Allowable Modifiers Evaluation and Management 99201 – 99499 – SA, SB, U7, (E&M) performed by a (See the 24, 25, 99 Non-physician Medical Practitioner (NMP) Non-physician...
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