New Level Two National Modifiers
The following new modifiers will be effective January 1, 2010, unless otherwise annotated:
AI
Principal physician of record
J4
DMEPOS item subject to DMEPOS competitive bidding program that is furnished by a hospital upon discharge
PA
Surgical or other invasive procedure on wrong body part
PB
Surgical or other invasive procedure on wrong patient
PC
Wrong surgery or other invasive procedure on patient
PI
Positron Emission Tomography (PET) or Pet/Computed Tomography (CT) to inform the initial treatment strategy of tumors that are biopsy-proven or strongly suspected of being cancerous based on other diagnostic testing
PS
Positron Emission Tomography (PET) or Pet/Computed Tomography (CT) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet study is needed to inform subsequent anti-tumor strategy
V5
Vascular catheter
V6
Arteriovenous graft
V7
Arteriovenous fistula
V8
Infection present
V9
No infection present
Pages
- Home
- Medical Billing Question and Answer - Terms
- Insurance Denial Claim Appeal Guidelines.
- Medical Billing Downloads
- Understand Medical Billing
- Medical Billing Outsource
- Medicare Coverage and Plan Overview
- Advertise with us
- EVALUATION AND MANAGEMENT CPT code [99201-99499] - Full List
- Overall Medical billing process
- CPT Code 99201, 99202, 99203, 99204, 99205 - Which code to USE
- Internal Medical Billing Audit - how to do
Medical Billing Popular Articles
-
Its often confused that BCBS have lot of prefixes and where to contact. However we have some guide to follow, using prefixes we could find t... -
Timely Filing Every insurance company has a time window in which you can submit claims. If you file them later than the allowed time, you ...
-
a. General Requirements When Medicare is the secondary payer, the claim must first be submitted to the primary insurer. The primary insure...
-
1 Deductible Amount 2 Coinsurance Amount 3 Co-payment Amount 4 The procedure code is inconsistent with the modifier used or a required mo...
-
CPT CODE AND Description 99391 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age...
-
CLINICAL RECORDS The following table contains general guidelines for clinical documentation that must be maintained by all providers excep...
-
CPT code and description 80050 - General health panel This panel must include the following: Comprehensive metabolic panel (80053), ...
-
Hyperlipidemia Hyperlipidemia (hyperlipemia) involves abnormally elevated levels of any or all lipids and/or lipoproteins in the blood. Hy...
-
When an ERA is received, providers may: •Post decision and payment information automatically, for individual claims included in an R... -
Denial code co - 45 - Charges exceed your contracted/legislated fee arrangement. Note: This adjustment amount cannot equal the total servic...
No comments:
Post a Comment