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...
Modifier 76 fact sheet: Repeat procedures
Modifier 76 is used to indicate repeat procedures performed on the same day for the same patient. Use this fact sheet for ways...
Modifier 22 fact sheet
Effective August 31, 2023, documentation is required for claims submitted with modifier 22. To avoid claim rejects and future...
Telehealth Services
We have added information on physician billing for acute hospital care at home reporting place of service 21 paired with...
Modifier 53 fact sheet
To avoid claim denials and future appeals due to these incorrect claim submissions, we’re providing guidance on how to properly...