Modifier 57 flowchart
Use this decision flowchart to assist in correctly applying the 57 modifier.
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Modifier 25 flowchart
Use this decision flowchart to assist in correctly applying the 25 modifier.
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...
Modifier 62 fact sheet
Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session...
Method II critical access hospital: Professional billing requirements for emergency department services
New section, Emergency department procedure codes for Method II CAH, added to the Medicare Claims Processing Manual Pub.100-04...
Use of JW and JZ Modifiers when Billing for Separately Payable Incident-to Supplies
Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar...