by Lori | Jul 30, 2010 | CPT modifiers
Modifier 22 Fact Sheet Definition: • Increased Procedural Service requiring work substantially greater than typically required. Appropriate Usage: • Surgeries where services performed are significantly greater than usual. • Anatomical variants could be an appropriate...
by Lori | Jul 30, 2010 | CPT modifiers
Modifier 74 Fact Sheet Definition: Discontinued Outpatient Hospital/Ambulatory Surgery Center (ASC) procedure after administration of Anesthesia Appropriate Usage: Due to extenuating circumstances or those that threaten the wellbeing of the patient, the physician may...
by Lori | Jul 30, 2010 | CPT modifiers
Modifier 73 Fact Sheet Definition: Discontinued Outpatient/Hospital Ambulatory Surgery Center (ASC) Procedure prior to the administration of anesthesia Instructions When a surgical or diagnostic procedure is discontinued, prior to anesthesia administration in...
by Lori | Jul 28, 2010 | CPT modifiers
Live Kidney Donor Services – Q3 Modifier Medicare Part B makes reimbursement for live kidney donor services performed during the preoperative, intraoperative, and postoperative periods. These services should be billed to the carrier under the name and...
by Lori | Jul 28, 2010 | CPT modifiers
When a Modifier may not be covered – BCBS of North Carolina • Modifier -22 will not affect claims processing adjudication. In general, BCBSNC does not allow a severity adjustment to fee allowances. Payment for new technologies is based on the outcome of...
Recent Comments