Coding

Use this decision flowchart to assist in correctly applying the 78 modifier

Effective August 31, 2023, documentation is required for claims submitted with modifier 22. To avoid claim rejects and future appeals due to incorrect claim submissions, we’re providing guidance on…

Effective August 31, 2023, documentation is required for claims submitted with modifier 52. To avoid claim rejects and future appeals due to incorrect claim submissions, we’re providing guidance on…

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…

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).

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.

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…

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