Surgical care Modifier – 54

Modifier 54 Fact Sheet Definition: • Modifier 54 indicates that the surgeon is billing the surgical care only. Appropriate Usage: • When all or part of the postoperative care is relinquished to a physician who is not a member of the same group • Appended to the...

Medicare modifier 53 – discontinued procedure

Modifier 53 Discontinued Procedure (professional services only) Instructions This 53 modifier allows the physician community to state the surgical procedure was discontinued due to extenuating circumstances or a threat to patient well-being.   Correct Use...

Three types of CPT codes

What are CPT codes ? The Current Procedural Terminology® (CPT®) code set is maintained by the American Medical Association through the CPT Editorial Panel.  The CPT code set accurately describes medical, surgical, and diagnostic services and is designed to...

Reduced Service – Medicare modifier 52

Modifier 52 Fact Sheet Definition: • Reduced Service reports a partially reduced or eliminated service or procedure. Appropriate Usage: • Procedures for which services performed are significantly less than usually required may be billed with the “52″ modifier. •...