CPT code modifiers


A modifier provides the means by which the reporting physician can indicate that a service or procedure that has been
performed has been altered by some specific circumstance but has not changed in its definition or code. The judicious
application of modifiers obviates the necessity for separate procedure listings that may describe the modifying
circumstance. Modifiers may be used to indicate to the recipient of a report that:
A service or procedure has both a professional and technical component
A service or procedure was performed by more than one physician and/or in more than one location

A service or procedure has been reduced or increased
Only part of a service was performed
An adjunctive service was performed
A bilateral procedure was performed
A service or procedure was provided more than once
Unusual events occurred

ASC modifier SG
CPT modifier 51
CPT modifier 62 and 66
CPT Modifier 22 and 51
CPT modifier 22 and 24
CPT modifier 52 and 53
CPT modifier 26 and TC
CPT modifier 59
CPT anesthesia modifier codes
ASC modifiers
Modifier 59
CPT modifier 25
CPT modifier 24
CPT modifier 57
CPT modifier 78
CPT Modifier 79
Surgical modifiers
CPT modifier 58

1 comment:

Anonymous said...

when billing out an office visit with injection code 96372, why is medicaid denying the office visit 99213 and only paying the 96372. Can I put a modifier 59 after the 96372 and than both codes will pay?

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