Modifier AI
The principal physician of record appends modifier “-AI” to their initial hospital care or nursing facility visit code. All...
Drugs and biologicals Part B: Using the JW and JZ modifiers
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single...
Medicare Secondary Payer (MSP) Educational Series -- Questions and Answers
The following questions originated from the "Medicare Secondary Payer (MSP) Educational Series." The questions are followed by...
Avoid negative impacts to your claims: Review policies on genetic testing for cardiovascular disease
View this important information you must know if you bill for genetic testing for cardiovascular disease, effective January 30.
Care management services
Care management services are covered under the Medicare program. View information regarding care management services, including...
Avoid negative impacts to your claims -- review LCD L39073 and billing and coding article A58812 pharmacogenomics testing
Important information you must know if you bill for pharmacogenomics testing.
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...
Prolonged physician services: Nursing facility E/M visits
Learn more about billing Medicare for prolonged nursing facility E/M services exceeding the maximum time by at least 15 minutes...