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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.
Effective August 31, 2023, documentation is required for claims submitted with modifier 22. To avoid claim rejects and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applyi…
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…
Read this article, which provides billing guidance for acute kidney injury.
Use this decision flowchart to assist in correctly applying the 25 modifier.
Use this decision flowchart to assist in correctly applying the 57 modifier.
Use this decision flowchart to assist in correctly applying the 58 modifier.
Use this decision flowchart to assist in correctly applying the 78 modifier.
Use this decision flowchart to assist in correctly applying the 79 modifier.