Care management services
Care management services are covered under the Medicare program. View information regarding care management services, including...
Avoid negative impacts to your claims -- review LCD L39073 and billing and coding article A58812 pharmacogenomics testing
Important information you must know if you bill for pharmacogenomics testing.
Modifier 62 fact sheet
Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session...
Modifier 27 fact sheet
Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a...
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...
Prolonged physician services: Nursing facility E/M visits
Learn more about billing Medicare for prolonged nursing facility E/M services exceeding the maximum time by at least 15 minutes...
Modifier 25 fact sheet
Specific guidelines apply to the proper application and billing of modifier 25.
Part B fact sheet: Observation care services
Observation care is a well-defined set of specific, clinically appropriate services, which include ongoing short-term treatment...
Prolonged physician services: Hospital inpatient or observation care services
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time...
Utilization of modifier 76: Repeat procedures
Modifier 76 used to report repeat procedure or service by same physician or other qualified health care professional the same...