St. Anthony's Modifiers Made Easy: The Key to Accurate Reporting of CPT and HCPCS Level II Modifiers for Physicians and HospitalsKathy Brouch HCFA is intensifying its investigation of he inappropriate use of modifiers in Medicare billing. Incorrect usage of CPT and HCPCS Level II modifiers can cost you money, or now, get you in trouble...Are you sure you're using them correctly? |
Contents
Anesthesia1 | 1 |
53 Discontinued procedure | 8 |
Radiology | 57 |
Copyright | |
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Common terms and phrases
22 modifier 51 modifier Add modifier Add-on Code(s adding the modifier additional anesthesia anesthesiologist Anthony's append modifier appropriate assistant at surgery assistant surgeon bilateral procedure billed biopsy cardiac carrier clinical Component Code Code cosurgery diagnosis code digit documentation E/M code E/M service effect on payment endoscopy Example fee schedule amount global period HCFA HCPCS Hospital Alert identified included incorrectly Using modifier indicate laboratory laparotomy lesion limiting charge Main Component Code medical necessity medical record Medicare modifier 22 modifier 76 modifier correctly MPFSDB multiple procedures operating room patient presents percent physician physician performs postoperative care postoperative period preoperative preoperative care Primary Associated Primary Associated Code(s proce procedure code procedure or service procedure performed radiology reduced service related procedure repeat service separate five-digit modifier services Coding Tips session Submit claim Submit CPT code surgery code surgical procedure third-party payers Tips Use modifier unless limited unrelated x-ray