Coding
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 procedure or other services with modifier 25.
Medically Unlikely Edits: Avoid denials and appeals by properly coding the first time
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
Medically Unlikely Edits: Avoid denials and appeals by properly coding the first time
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
Coding resources: ICD-10, CPT, and HCPCS
Find resources to assist with ICD-10 compliance as well as CPT and HCPCS information.
Coding resources: ICD-10, CPT, and HCPCS
Find resources to assist with ICD-10 compliance as well as CPT and HCPCS information.
National Correct Coding Initiative (NCCI)
The National Correct Coding Initiative (NCCI) was developed to promote national correct coding methodologies and to control improper coding leading to inappropriate payments. Read this article to…
National Correct Coding Initiative (NCCI)
The National Correct Coding Initiative (NCCI) was developed to promote national correct coding methodologies and to control improper coding leading to inappropriate payments. Read this article to…
Bilateral indicators
The Medicare physician fee schedule status indicators for bilateral services should be used to determine if the procedure is allowed to be performed bilaterally.
Modifier AI
The principal physician of record appends modifier “-AI” to their initial hospital care or nursing facility visit code. All other physicians who perform an initial evaluation on this patient bill…
Modifier 73 fact sheet
Use modifier 73 to report discontinued outpatient or hospital ambulatory surgical center (ASC) procedure prior to the administration of anesthesia.