BCBS covered modifier – when to use

When a Modifier may be covered – BCBS of  North Carolina • Modifiers -62 and -66 designate services performed by two surgeons or a surgical team, and will be reviewed on an individual consideration basis. • Modifiers -80, -81, and -82 designate assistant...

Anesthesia billing Code Modifiers

Anesthesia Code Modifiers AA Anesthesia services personally performed by anesthesiologist – Distinct fee schedule amount. Affects payment. AD Medical supervision by a physician: More than 4 concurrent anesthesia procedures. – Distinct fee schedule amount....

AS – Non-Physician Practitioner Modifier

Non-Physician Practitioner Modifier AS Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist services for assistant-at-surgery, non-team member. Reimburses at 10.4% of Medicare Physician Fee Schedule. End Stage Renal Disease (ESRD) Modifiers G1 Most...

Billing modifier 22 – Usage and coding tips

Modifier 22 INCREASED PROCEDURAL SERVICES When the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. Documentation must support the substantial additional work...

BCBS of North Carolina covered modifier

When a Modifier may be covered – BCBS of  North Carolina • Modifier – 24 can be submitted with evaluation and management services. It is used to report an unre lated evaluation and management service by the same physician during a postoperative...