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...
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Drugs and biologicals
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related...
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.
Limited systems availability Friday, April 3 through Sunday, April 5
There will be Common Working File (CWF) "dark days" Friday, April 3, through Sunday, April 5, affecting the IVR.
Appeal status requests must be obtained through SPOT
To enhance efficiency and ensure the secure handling of appeal information, effective May 1, 2026, all providers will be...
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...