There are two modifiers commonly used in surgical specialties when billing two or more procedures at the same encounter. Appending the correct … [Read more...]
Using Modifier 59 | Quick Reference
Modifier 59 is referred to by CMS as the modifier of last resort. It is often used when modifier 51 is the more accurate modifier. This quick … [Read more...]
Using Modifier 25 | Quick Reference
Use of Modifier 25 may be applicable when an E/M service is provided on the same day as a procedure, a preventive medicine service, or other medical … [Read more...]
Do I need Modifier 52 for this repair?
Question: Can you please give me your opinion on a coding case? We have a surgical oncologist that performed an excision of malignant skin … [Read more...]
Co-surgery, Team surgery, Assistant at surgery
Modifiers for co-surgery, team surgery and assistant at surgery CPT® has specific modifiers for co-surgery, team surgery and assistant at surgery. … [Read more...]
Using Modifiers Correctly: Every claim line tells a story
Recorded May 4, 2017 Are you missing modifiers? Misplacing modifiers? If so, you’re losing money and wasting time working denials. Slapping a … [Read more...]
Modifier 57
Decision for Surgery. An evaluation and management service that resulted in the initial decision to perform surgery may be identified by adding … [Read more...]
Modifier 24 and 25
This summary of the rules regarding modifier 24 and 25 is a must read; it includes specific examples of when to report both an E/M and a procedure and … [Read more...]
Surgical Modifiers
This article includes: Surgical modifiers with definitions Guidelines for billing multiple surgical procedures Modifiers in the Post-op … [Read more...]
Can I get paid for…an office visit the same day as a minor procedure
Can you bill an E/M service on the same day as a minor procedure? Sometimes yes, sometimes no. The decision to perform a minor procedure is included … [Read more...]