Bilateral indicators
The Medicare physician fee schedule status indicators for bilateral services should be used to determine if the procedure is...
Appropriate drug billing Part A
Read this article to learn more about appropriately billing Part A drugs.
Medicare secondary payer (MSP) billing
Read this article for more information on how to bill claims when Medicare is the secondary payer.
Appropriate use of not otherwise classified codes when billing drugs and biologicals
Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC)...
Anatomical modifiers
Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require a...
Drugs and biologicals Part A: Using the JW and JZ modifiers
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a single...
Avoiding MSP claim rejects
Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP...
Modifier 50
Modifier 50 applies to bilateral procedures performed on both sides in the same operative session, except as indicated. Avoid...
Modifier AI
The principal physician of record appends modifier “-AI” to their initial hospital care or nursing facility visit code. All...
Drugs and biologicals Part B: Using the JW and JZ modifiers
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single...