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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…
Read this article, which provides billing guidance for acute kidney injury.
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.
Find the latest news pertaining to Medicare billing, coding, and general coverage changes.
Effective July 1, 2026, new billing instructions apply related to no longer submitting the AX modifier and hemodiafiltration and AKI claims.
View details regarding specific modifiers including tips, decision flowcharts, and educational information.
Use this decision flowchart to assist in correctly applying the 25 modifier.
Use this decision flowchart to assist in correctly applying the 57 modifier.
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
Use this decision flowchart to assist in correctly applying the 24 modifier.