Coding

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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.

Postoperative co-management -- modifiers 54 and 55

When physicians transfer the care of the patient during the global care period, the use of a modifier will be necessary to distinguish who is providing care for the patient. This article explains how…

Reporting place of service (POS) codes

The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.

Modifier 24 fact sheet

To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 24.

Modifier 57 fact sheet

To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 57.

Reporting place of service (POS) codes

The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.