by Medical Billing | Jul 22, 2016 | CPT modifiers
Modifiers to be used for Part A Program Category Modifier Code Description PART – A E/M 25 Significant, separately identifiable Evaluation and Management (E/M) service by the same physician on the same day of the procedure or other service. PART – A Method...
by Medical Billing | Jul 22, 2016 | CPT modifiers
Documentation Requirements for Modifier 52 & 53 Modifier 52 – Reduced Services * Surgical Procedures: An operative report and a concise statement on how the service performed differs from the usual. * Non-Surgical Procedures: Provide a concise...
by Medical Billing | Jul 22, 2016 | CPT modifiers
Modifiers to be used for Part B Program Category Modifier Code Description PART – B Physician Quality Reporting 1P Physician Quality Reporting System – Performance measure exclusion modifier due to medical reasons. PART – B Surgical 22...
by Medical Billing | Jul 22, 2016 | CPT modifiers
Carriers may receive claims for surgical procedures with more than one surgical modifier. For example, since the global fee concept applies to all major surgeries, carriers may receive a claim for surgical care only (modifier “-54”) for a bilateral surgery (modifier...
by Medical Billing | Jul 19, 2016 | CPT modifiers
Allowable Adjustments Effective January 1, 2000, the replacement code (CPT 69990) for modifier -20 – microsurgical techniques requiring the use of operating microscopes may be paid separately only when submitted with CPT codes: 61304 through 61546 61550 through...
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