Coding

Use this decision flowchart to assist in correctly applying the 78 modifier

Use this decision flowchart to assist in correctly applying the 79 modifier.

Use this decision flowchart to assist in correctly applying the 58 modifier.

Effective August 31, 2023, documentation is required for claims submitted with modifier 52. To avoid claim rejects and future appeals due to incorrect claim submissions, we’re providing guidance on…

Effective August 31, 2023, documentation is required for claims submitted with modifier 22. To avoid claim rejects and future appeals due to incorrect claim submissions, we’re providing guidance on…

Surgeons append modifier 66 to claims indicating they were on a team of surgeons performing a specific procedure on the same patient during the same operative session. Billing modifier 66 requires…

Surgeons append modifier 66 to claims indicating they were on a team of surgeons performing a specific procedure on the same patient during the same operative session. Billing modifier 66 requires…

Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a “separate and distinct E/M encounter” from the service previously provided…

Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session. When billing a procedure with modifier 62, documentation of the medical…

Here is clarification on the appropriate use of modifiers to report assistant at surgery services and how payment is determined under the Medicare physician fee schedule (MPFS).