MLN Connects for July 15, 2025
This edition includes information on a proposed physician payment rule.
Articles
Article Type
Category
Modifier AI
The principal physician of record appends modifier “-AI” to their initial hospital care or nursing facility visit code. All...
Modifier 62 fact sheet
Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session...
Modifier 27 fact sheet
Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a...
Modifier 25 tips
These tips are based on questions posed regarding whether to bill an evaluation and management visit on the same day as a...
Utilization of modifier 76: Repeat procedures
Modifier 76 used to report repeat procedure or service by same physician or other qualified health care professional the same...
Modifier 53 fact sheet
To avoid claim denials and future appeals due to these incorrect claim submissions, we’re providing guidance on how to properly...
Modifier 73 fact sheet
Use modifier 73 to report discontinued outpatient or hospital ambulatory surgical center (ASC) procedure prior to the...
Postoperative co-management -- modifiers 54 and 55
When physicians transfer the care of the patient during the global care period, the use of a modifier will be necessary to...
UB-04 billing information
The Official UB-04 Data Specifications Manual 2025, copyrighted by the American Hospital Association, is the only official...