Coding

Surgeons append modifier 66 to claims indicating they were on a team of surgeons performing a specific procedure on the same patient during the same operative session. Billing modifier 66 requires…

Surgeons append modifier 66 to claims indicating they were on a team of surgeons performing a specific procedure on the same patient during the same operative session. Billing modifier 66 requires…

Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a “separate and distinct E/M encounter” from the service previously provided…

Here is clarification on the appropriate use of modifiers to report assistant at surgery services and how payment is determined under the Medicare physician fee schedule (MPFS).

Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session. When billing a procedure with modifier 62, documentation of the medical…

The Official UB-04 Data Specifications Manual 2025, copyrighted by the American Hospital Association, is the only official source of UB-04 billing information adopted by the National Uniform Billing…

To avoid claim denials and future appeals due to these incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying this modifier.

View this article for instructions on how and when to use modifier 91.

Specific guidelines apply to the proper application and billing of modifier 25.

Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require a modifier be reported. Avoid claim denials or appeals due to incorrect…