CPT billing codes and ICD 9 code

by | Oct 2, 2010 | CPT modifiers

What CPT Medical Billing Codes are and their relationship to ICD-9 codes. CPT stands for Current Procedural Terminology (4th edition) and is developed and maintained by the American Medical Association (AMA). It’s also referred to as CPT-4 to denote the 4th (or...

Teaching Physician and other Medicare modifier

by | Sep 26, 2010 | CPT modifiers

Teaching Physician GC This service has been performed in part by a resident under the direction of a teaching physician. GE This service has been performed by a resident without the presence of a teaching physician under the primary care exception. Other Modifiers for...

Modifier AI Fact Sheet

by | Sep 24, 2010 | CPT modifiers

Definition: • AI Modifier : Principal Physician of Record Appropriate Usage: • To identify the admitting or attending physician who oversees the patient’s care while in an inpatient or nursing facility setting • Appended to the initial inpatient hospital visit...

Assistant surgery modifier

by | Sep 24, 2010 | CPT modifiers

Assistant at Surgery Modifier Fact Sheet Definition: • An “assistant at surgery” is a physician who actively assists the physician in charge of a case in performing a surgical procedure. The “assistant at surgery” provides more than just ancillary services. Facts: •...

Other Modifiers for Medicare Claims

by | Sep 19, 2010 | CPT modifiers

AP Determination of refractive state was not performed in the course of diagnostic ophthalmological examination. No effect on payment. AQ Physician providing a service in an unlisted health professional shortage area (HPSA). For dates of service on or after January 1,...