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The principal physician of record appends modifier “-AI” to their initial hospital care or nursing facility visit code. All other physicians who perform an initial evaluation on this patient bill without modifier "-AI" to indicate specialty…
Modifier 50 applies to bilateral procedures performed on both sides in the same operative session, except as indicated. Avoid claim denials and future appeals due to incorrect claim submissions by properly applying modifier 50 when these in…
Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require a modifier be reported. Avoid claim denials or appeals due to incorrect claim submissions by properly applying anatom…
View this article for instructions on how and when to use modifier 91.
When physicians transfer the care of the patient during the global care period, the use of a modifier will be necessary to distinguish who is providing care for the patient. This article explains how to properly apply modifiers when these i…
Use modifier 73 to report discontinued outpatient or hospital ambulatory surgical center (ASC) procedure prior to the administration of anesthesia.
To avoid claim denials and future appeals due to these incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying this modifier.
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).
The Medicare physician fee schedule status indicators for bilateral services should be used to determine if the procedure is allowed to be performed bilaterally.
The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.