Bilateral indicators
The Medicare physician fee schedule status indicators for bilateral services should be used to determine if the procedure is...
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Anatomical modifiers
Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require a...
Modifier 50
Modifier 50 applies to bilateral procedures performed on both sides in the same operative session, except as indicated. Avoid...
Modifier AI
The principal physician of record appends modifier “-AI” to their initial hospital care or nursing facility visit code. All...
Utilization of modifier 76: Repeat procedures
Modifier 76 used to report repeat procedure or service by same physician or other qualified health care professional the same...
Modifier 22 fact sheet
Effective August 31, 2023, documentation is required for claims submitted with modifier 22. To avoid claim rejects and future...
Modifier 53 fact sheet
To avoid claim denials and future appeals due to these incorrect claim submissions, we’re providing guidance on how to properly...
Improve your billing of hospital inpatient or observation discharge day management codes
Effective January 1, 2023, changes were made to hospital inpatient or observation discharge day management codes. Review this...
Modifier 73 fact sheet
Use modifier 73 to report discontinued outpatient or hospital ambulatory surgical center (ASC) procedure prior to the...
Modifier 52 fact sheet
Effective August 31, 2023, documentation is required for claims submitted with modifier 52. To avoid claim rejects and future...