Articles
Article Type
Category
Modifier 25 tips
These tips are based on questions posed regarding whether to bill an evaluation and management visit on the same day as a...
Modifier 25 fact sheet
Specific guidelines apply to the proper application and billing of modifier 25.
Ending AX modifier requirements for acute kidney injury (AKI) and end stage renal disease (ESRD)
Effective July 1, 2026, new billing instructions apply related to no longer submitting the AX modifier and hemodiafiltration and...
Modifiers
View details regarding specific modifiers including tips, decision flowcharts, and educational information.
Modifier 62 fact sheet
Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session...
Telehealth service modifiers
Telehealth modifiers should be submitted with distant site telehealth services. Patient must be present and participating in...
Modifier 27 fact sheet
Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a...
Anatomical modifiers
Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require a...
Modifier 24 fact sheet
To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit...