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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…
Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session. When billing a procedure with modifier 62, documentation of the medical necessity for two surgeons may be required…
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…
Read this article for information about billing modifier 59.
View details regarding specific modifiers including tips, decision flowcharts, and educational information.
Use this decision flowchart to assist in correctly applying the 24 modifier.
Find the latest news pertaining to Medicare billing, coding, and general coverage changes.
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.
Read this article for information about billing modifier 79.
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).