To avoid claim denials and future appeals due to these incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying this modifier.
To avoid claim denials and future appeals due to these incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying this modifier.
This provides definitions of the national policy indicators for each procedure code (and modifier, where applicable) on the Medicare physician fee schedule database (MPFSDB). [CR 11453]
To access a file containing the quarterly additions and deletions to the list of ZIP codes requiring a plus four extension refer to this link to the CMS website. [CR 5970]
Here is clarification on the appropriate use of modifiers to report assistant at surgery services and how payment is determined under the Medicare physician fee schedule (MPFS).
This page includes links to files that contain the Level II alphanumeric Healthcare Procedural Coding System (HCPCS) procedure and modifier codes; their long and short descriptions; and applicable Medicare administrative, coverage, and pricing data.
Ambulatory Surgical Centers (ASCs) need to know their CBSA code in order to determine the correct fees.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
