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Specific guidelines apply to proper application of therapy modifiers to indicate therapy discipline of plan of care.
The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
Find resources to assist with ICD-10 compliance as well as CPT and HCPCS information.
Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a “separate and distinct E/M encounter” from the service previously provided the same day in the same or different hos…
View details regarding specific modifiers including tips, decision flowcharts, and educational information.
Use this decision flowchart to assist in correctly applying the 24 modifier.
Telehealth modifiers should be submitted with distant site telehealth services. Patient must be present and participating in telehealth visit. View guidance in this article on the use of modifiers for these services.
The Official UB-04 Data Specifications Manual 2025, copyrighted by the American Hospital Association, is the only official source of UB-04 billing information adopted by the National Uniform Billing Committee (NUBC).
Surgeons append modifier 66 to claims indicating they were on a team of surgeons performing a specific procedure on the same patient during the same operative session. Billing modifier 66 requires documentation to support the claim.