by Lori | Dec 30, 2015 | CPT modifiers
Modifier Description 22 Increased Procedural Services: When the work required to provide a service is substantially is greater than typically required, it may be identified by adding modifier 22 to the usual procedure code....
by Lori | Dec 20, 2015 | CPT modifiers
Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Modifiers Modifier Description AQ Service performed in a Health Professional Shortage Area. This modifier is used by physicians to indicate the services...
by Lori | Dec 9, 2015 | CPT modifiers
Modifier Description 50 Bilateral Procedure: Unless otherwise identified in the listings, bilateral procedures that are performed at the same operative session should be identified by adding the modifier 50 to the appropriate five...
by Medical Billing | Dec 1, 2015 | CPT modifiers
Summary The Centers for Medicare & Medicaid Services (CMS) recently announced Medicare will pay for vaccine Current Procedural Terminology (CPT) code 90630 (Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use) for...
by Lori | Nov 25, 2015 | CPT modifiers
The following modifiers are used by physicians to indicate a billed service is not part of a global surgical package and is eligible for separate reimbursement: Modifier Description 24 Unrelated Evaluation and Management...
by Lori | Nov 19, 2015 | CPT modifiers
Coverage indications and limitations, including nationally non-covered conditions (e.g., the use of FDG PET imaging to determine initial treatment strategy in patients with adenocarcinoma of the prostate), are described within the IOM sections referenced above. The...
by Lori | Nov 17, 2015 | CPT modifiers
procedure code and description 80300- Drug screen non tlc devices – Drug screen, any number of drug classes from Drug Class List A; any number of non-TLC devices or procedures, (i.e., immunoassay) capable of being read by direct optical observation,...
by Lori | Nov 9, 2015 | CPT modifiers
Coverage Indications, Limitations, and/or Medical Necessity Notice: It is not appropriate to bill Medicare for services that are not covered (as described by this entire LCD) as if they are covered. When billing for non-covered services, use the appropriate modifier....
by Medical Billing | Oct 27, 2015 | CPT modifiers
The Centers for Medicare and Medicaid Services (CMS) has created four new healthcare common procedure coding system (HCPCS) modifiers to selectively identify subsets of modifier 59 (distinct procedural services) for use, effective Jan. 1, 2015. They are: • XE Separate...
by Lori | Oct 16, 2015 | CPT modifiers
Provider Types Affected This MLN Matters Article is intended for physicians, providers and suppliers submitting claim to Medicare Administrative Contractors (MACs) and Durable Medical Equipment (DME) MACs for services provided to Medicare beneficiaries. Provider...
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