Reasonable coders and practitioners can and do disagree about when a separate E/M service is warranted on the day of a minor procedure. This audit … [Read more...]
Modifier update 2022
Modifier update: 2022 Recorded February 17, 2022 CMS released four new modifiers at the end of 2021, and CPT released one. These include … [Read more...]
Modifier 51 or 59? How to know which to bill?
Modifier 51 and 59 are both used on second and subsequent surgical procedures, when performed on the day of a primary procedure There are two … [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...]
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...]
Coding Guide – Global Surgery
An Overview of Global Surgery & Surgery Coding Guidelines Physicians, nurse practitioners and physician assistants in many specialties perform … [Read more...]
Explaining E/M Modifiers: 24, 25, 57
These evaluation and management modifiers indicate to a payer that the service provided was not part of the global surgical package. What are the … [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...]