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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...

  • March 4, 2025

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...

  • February 6, 2026

Modifier 50

Modifier 50 applies to bilateral procedures performed on both sides in the same operative session, except as indicated. Avoid...

  • March 12, 2025

Modifier 52 fact sheet

Effective August 31, 2023, documentation is required for claims submitted with modifier 52. To avoid claim rejects and future...

  • August 20, 2025

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...

  • July 8, 2025

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...

  • October 23, 2024

Modifier 57 flowchart

Use this decision flowchart to assist in correctly applying the 57 modifier.

  • Latest updates: Billing and coding
  • March 27, 2026

Modifier 58 flowchart

Use this decision flowchart to assist in correctly applying the 58 modifier.

  • September 15, 2025

Modifier 59 flowchart

Modifier 59 flowchart

  • September 15, 2025

Modifier 62 fact sheet

Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session...

  • Latest updates
  • February 18, 2026
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