by Medical Billing | Aug 26, 2016 | CPT modifiers
Modifier Description 22 Increased Procedural Service: 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...
by Medical Billing | Aug 22, 2016 | CPT modifiers
HYPERCARE EXTERNAL SOLUTION 20 NDC Drug – Hypercare Generic Name: aluminum chloride hexahydrate and alcohol Dosage Form: topical solution Drysol Dab-O-Matic™ (DOM), Drysol 37.5cc (aluminum chloride hexahydrate 20% w/v topical solution; Person and Covey Inc.) and...
by Medical Billing | Aug 17, 2016 | CPT modifiers
Basic Metabolic Panel (Calcium, total), 80048 CPT coding guidelines indicate that a Basic Metabolic Panel (Calcium, total), CPT code 80048 should not be reported in conjunction with 80053. If a submission includes CPT 80048 and CPT 80053, only CPT 80053 will be...
by Medical Billing | Aug 17, 2016 | CPT modifiers
1. Definitions of the GA, GY, and GZ Modifiers The modifiers are defined below: GA – Waiver of liability statement on file. GY – Item or service statutorily excluded or does not meet the definition of any Medicare benefit. GZ – Item or service...
by Medical Billing | Aug 13, 2016 | CPT modifiers
Definition – The “-91” modifier is used to indicate a repeat laboratory procedural service on the same day to obtain subsequent reportable test values. The physician may need to indicate that a lab procedure or service was distinct or separate from other lab...
by Medical Billing | Aug 10, 2016 | CPT modifiers
The A/B MACs (A) should take the following actions upon receipt of incomplete or invalid submissions: • If a required data element is not accurately entered in the appropriate field, RTP the submission to the provider of service. • If a not required data element is...
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