Becker's ASC

When to Use CPT Modifiers 25 & 57

Current procedural terminology modifiers 25 and 57 may be confusing to some coders, but each serves a specific purpose, according to an AAPC report. For an evaluation and management visit when a ...
Becker's Hospital Review

How CPT Code Modifiers Impact Physician Cash Compensation

The use, or misuse, of Current Procedural Terminology code modifiers in physician compensation plans could lead to unintended cash compensation figures, according to an article from Integrated ...
The American Journal of Managed Care

Avoiding Risk Using New X Modifiers for Medicare Reimbursement

On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...
Becker's ASC

Guidance for Properly Reporting Modifier -33

Modifier -33 is attached to the lab CPT code for the cholesterol screening. ICD-9 code V77.91 (screening for lipoid disorders) is coded as an additional diagnosis. Modifier -33 is not required on ...
Medindia

Pain Management Modifier: Inappropriate Use of Modifiers Can Put You at Risk for Potential Fines

Modifiers enable the physician to clarify situation in which a procedure or services performed--differs in some way from that described by its usual CPT® code. Picking the right modifiers is ...