Coding

The Official UB-04 Data Specifications Manual 2025, copyrighted by the American Hospital Association, is the only official source of UB-04 billing information adopted by the National Uniform Billing…

To avoid claim denials and future appeals due to these incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying this modifier.

Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require a modifier be reported. Avoid claim denials or appeals due to incorrect…

View this article for instructions on how and when to use modifier 91.

Specific guidelines apply to the proper application and billing of modifier 25.

Read this article for information about billing modifier 79.

Read this article for information about billing modifier 59.

Modifier 76 used to report repeat procedure or service by same physician or other qualified health care professional the same day.

Telehealth modifiers should be submitted with distant site telehealth services. Patient must be present and participating in telehealth visit. View guidance in this article on the use of modifiers…

Telehealth modifiers should be submitted with distant site telehealth services. Patient must be present and participating in telehealth visit. View guidance in this article on the use of modifiers…