by Medical Billing | Jun 5, 2016 | CPT modifiers
A critical component to filing claims with a NDC Code is to ensure that the appropriate HCPCS/CPT code is billed with the NDC Code. A NDC to HCPCS crosswalk identifies the assigned HCPCS/CPT code(s) for the NDC code associated to the drug service(s) billed based upon...
by Medical Billing | Jun 3, 2016 | CPT modifiers
NDC Code An NDC (National Drug Code) is a unique identifier which identifies a specific drug. Even though an NDC Code is assigned to a drug, the drug may not be approved by the FDA. The NDC code(s) reported by the manufacture is the billable NDC code and is generally...
by Medical Billing | Jun 2, 2016 | CPT modifiers
Payment for Evaluation and Management Services Provided During Global Period of Surgery A. CPT Modifier “-24” – Unrelated Evaluation and Management Service by Same Physician During Postoperative Period Carriers pay for an evaluation and management service other...
by Medical Billing | May 31, 2016 | CPT modifiers
Screening Pap Tests HCPCS/CPT Codes G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148 – Screening cytopathology, cervical or vaginal G0123 – Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid,...
by Medical Billing | May 26, 2016 | CPT modifiers
Effective July 1, 2016, providers are required to: • Use the JW modifier for claims with unused drugs or biologicals from single use vials or single use packages that are appropriately discarded (except those provided under the Competitive Acquisition Program (CAP)...
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