by Medical Billing | Apr 27, 2016 | CPT modifiers
Preventing duplicate claim denials Providers are responsible for all claims submitted to Medicare under their provider number. Preventable duplicate claims are counterproductive and costly, and continued submission to Medicare may lead to program integrity action....
by Medical Billing | Apr 22, 2016 | CPT modifiers
Intensive Behavioral Therapy (IBT) for Cardiovascular Disease (CVD) Also known as a CVD risk reduction visit HCPCS/CPT Codes G0446 – Annual, face-to-face intensive behavioral therapy for cardiovasculardisease, individual, 15 minutes ICD-10-CM Codes See...
by Medical Billing | Apr 15, 2016 | CPT modifiers
Glaucoma Screening HCPCS/CPT Codes G0117 – By an optometrist or ophthalmologist G0118 – Under the direct supervision of an optometrist or ophthalmologist ICD-10-CM Codes Z13.5 Who Is Covered Medicare beneficiaries who: • Have diabetes mellitus; • Have a family history...
by Medical Billing | Apr 11, 2016 | CPT modifiers
Modifiers Use the following modifiers, as applicable: Bill Use Modifier Other Information Bilateral surgery 50 Refer to the Bilateral Services and CPT Modifier 50 Payment Policy for billing directives Reduced service 52 Use with CPT code representing the...
by Medical Billing | Apr 6, 2016 | CPT modifiers
The Active Treatment (AT) modifier defines the difference between active treatment and maintenance treatment. Effective October 1, 2004, the AT Modifier is required under Medicare billing to receive reimbursement for CPT codes 98940-98942. For Medicare purposes, the...
by Medical Billing | Mar 30, 2016 | CPT modifiers
Counseling to Prevent Tobacco Use (for Asymptomatic Beneficiaries) HCPCS/CPT Codes G0436 – Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes G0437 – Smoking and tobacco cessation...
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