Update history: LCD and article updates
View the most recent updates for our LCDs and articles. An LCD has been posted for notice to become effective May 17.
Articles
Article Type
Category
Modifier 66 fact sheet
Surgeons append modifier 66 to claims indicating they were on a team of surgeons performing a specific procedure on the same...
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...
Modifier 57 flowchart
Use this decision flowchart to assist in correctly applying the 57 modifier.
Modifier 25 flowchart
Use this decision flowchart to assist in correctly applying the 25 modifier.
Revision to social determinants of health risk assessment (HCPCS code G0136)
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment...
Appropriate use of assistant at surgery modifiers and payment indicators
Here is clarification on the appropriate use of modifiers to report assistant at surgery services and how payment is determined...
Medically Unlikely Edits: Avoid denials and appeals by properly coding the first time
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.