by Lori | Jul 23, 2016 | CPT modifiers
Modifier AQ Fact Sheet Definition: • Services provided in a Health Professional Shortage Area (HPSA) Appropriate Usage: • For dates of service on or after January 1, 2006, AQ, replaces the two existing modifiers, QB and QU, for physician services provided in HPSAs •...
by Lori | Jul 23, 2016 | CPT modifiers
INVALID DIAGNOSIS CODES – Effective October 1, 2010 Diagnosis Code Description 275.0 Disorders of iron metabolism 276.6 Fluid overload 287.4 Secondary thrombocytopenia 488.0* Influenza due to identified avian influenza virus 488.1* Influenza due to identified...
by Medical Billing | Jul 22, 2016 | CPT modifiers
Procedure code and description 99211 – Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s)...
by Medical Billing | Jul 22, 2016 | CPT modifiers
CPT code 99211 should not be used to bill Medicare: • For phone calls to patients. • Solely for the writing of prescriptions (new or refill) when no other E/M is necessary or performed. • For blood pressure...
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...
Recent Comments