by Medical Billing | Jan 11, 2017 | CPT modifiers
Procedure Codes Description Group 1 Codes: 0001M Infectious dis hcv 6 assays 0002M Liver dis 10 assays w/ash 0003M Liver dis 10 assays w/nash 0004M Scoliosis dna alys 0006M Onc hep gene risk classifier 0007M Onc gastro 51 gene nomogram 0008M Onc breast risk score...
by Medical Billing | Jan 10, 2017 | CPT modifiers
Background Out of necessity, multiple continuous peripheral nerve blocks (CPNB) were administered in Operation Iraqi Freedom in 2003. Real-time imaging (portable ultrasound) and peripheral nerve stimulation have revolutionized the practice of CPNB anesthesia by...
by Medical Billing | Jan 6, 2017 | CPT modifiers
Coverage Guidance Coverage Indications, Limitations, and/or Medical Necessity The provisions of this LCD apply to payment for bioengineered skin substitutes (BSS) for chronic ulcers of the lower extremities secondary to diabetes and venous stasis. This LCD does not...
by Medical Billing | Nov 24, 2016 | CPT modifiers
Modifiers Pertaining to Surgery or Services within the Global Period Modifiers assure that the carrier will give consideration to the special circumstances that may affect payment. Omitting modifiers may result in payment denials. If a review is requested on a...
by Medical Billing | Nov 17, 2016 | CPT modifiers
Severity/Complexity Modifiers For each nonpayable functional G-code, one of the modifiers listed below must be used to report the severity/complexity for that functional limitation. Modifier ...
by Medical Billing | Nov 13, 2016 | CPT modifiers
The Financial Limitation Legislation A. Legislation on Limitations The dollar amount of the limitations (caps) on outpatient therapy services is established by statute. The updated amount of the caps is released annually via Recurring Update Notifications and posted...
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