Articles

Bilateral indicators

The Medicare physician fee schedule status indicators for bilateral services should be used to determine if the procedure is...

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...

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...

Modifier 73 fact sheet

Use modifier 73 to report discontinued outpatient or hospital ambulatory surgical center (ASC) procedure prior to the...