Anatomical modifiers
Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require that...
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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...
Modifier 62 fact sheet
Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session...
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...
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.
Modifier 76 fact sheet: Repeat procedures
Modifier 76 is used to indicate repeat procedures performed on the same day for the same patient. Use this fact sheet for ways...
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...