Part B

Use this decision flowchart to assist in correctly applying the 24 modifier.

Effective for dates of service July 1, 2021, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for cervical fusion with disc removal if performed…

Effective for dates of service July 1, 2021, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for cervical fusion with disc removal if performed…

This edition includes information on the 2025 ambulance fee schedule, federally qualified health centers, home health consolidated billing, and more.

This edition includes information on the 2025 ambulance fee schedule, federally qualified health centers, home health consolidated billing, and more.

This edition includes information on mechanical ventilation billing, discarded drugs and biologicals, an upcoming webinar, and more.

This edition includes information on mechanical ventilation billing, discarded drugs and biologicals, an upcoming webinar, and more.

This edition includes information on therapy services, roster billing for hepatitis B, preventing claim denails for oral anticancer and antiemetic drugs, and more.

This edition includes information on therapy services, roster billing for hepatitis B, preventing claim denails for oral anticancer and antiemetic drugs, and more.

These tips are based on questions posed regarding whether to bill an evaluation and management visit on the same day as a procedure or other services with modifier 25.