by Medical Billing | Sep 20, 2016 | CPT modifiers
Providers Billing on the CMS 1500 Claim Form Use the appropriate procedure/diagnosis code from the list above and the most appropriate modifier from the list below: G7 – Termination of pregnancy resulting from rape, incest, or certified by physian as...
by Medical Billing | Sep 17, 2016 | CPT modifiers
Change in policy regarding the use of the JW modifier for discarded Part B drugs and biologicals. Effective January 1, 2017, providers are required to: • Use the JW modifier for claims with unused drugs or biologicals from single use vials or single use packages that...
by Medical Billing | Sep 13, 2016 | CPT modifiers
CPT code definitions: • 98960 — education & training for patient self-management by a qualified, non-physician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30...
by Lori | Sep 8, 2016 | CPT modifiers
New coding requirements related to Healthcare Common Procedure Coding System (HCPCS) modifier -59 could impact your reimbursement. Change Request (CR) 8863 notifies MACs and providers that the Centers for Medicare and Medicaid Services (CMS) is establishing four new...
by Medical Billing | Sep 5, 2016 | CPT modifiers
Code Ophthalmology Description Comments 65771 Radial keratotomy Not reimbursed 65782 Ocular surface reconstruction 65855 Trabeculoplasty by laser surgery, one or more sessions 66179 Aqueous shunt...
by Medical Billing | Aug 31, 2016 | CPT modifiers
CPT Description 20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) 20553 Injection(s); single or multiple trigger point(s), 3 or more muscle(s) Trigger Point Injections are used to treat painful areas of muscle that contain trigger points, or...
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...
Recent Comments