Modifiers

Modifiers give you more control over reporting the provided services precisely. However, this additional detailing in medical coding can also be stressful since there are many modifiers with minute differences. Even if we talk about reporting the services of an assistant at surgery, there are several modifiers to choose from, such as 80, 81, 82, […]

Tired of insurance companies mistaking repeated tests as duplicates? Try using modifier 91 to overcome these denials! Little considerations, like the appropriate use of modifiers, simplify the billing process. These two-digit codes provide additional context to CPT or HCPCS codes and reduce the miscommunication between healthcare providers and payers. Modifier 91 is one such important

It can be overwhelming to keep track of all the medical coding billing guidelines, such as accurate diagnosis and procedural code selection, appropriate modifier usage, documentation requirements, and whatnot.  If you are a healthcare facility or a physician conducting colorectal screening, you may have encountered the modifier PT. But do you know when and how

Struggling to understand when and how to use the GA modifier correctly? Let us be your guide! It is common knowledge that modifiers are extremely useful for delivering additional information to payers. In simple terms, these two-digit codes help them determine how to reimburse a particular service or procedure. Some modifiers, including modifier GA, are

How do you report a discontinued procedure? With modifier 53! Modifiers are essential for reporting unusual and unique circumstances to payers. A common misconception about these two-digit codes? You can use them randomly to increase reimbursements. In reality, they have specific criteria and only deliver additional details about a service or procedure. Unforeseen circumstances or

Did you know that other than the traditional modifiers, there are separate therapy modifiers that help specify the complexity and extent of the rendered care procedure? If this is something new to you, or if you have trouble understanding how to use therapy modifiers accurately, this guide is for you! In this guide, we will

Did you know that there are different levels of E/M services due to various clinical scenarios? Insurance companies require details about each scenario, including those where crucial decisions are made, to reimburse the service appropriately. But how do healthcare providers communicate this information? Through modifiers, of course! Modifier 57 is one of the most commonly

Medical coding seems like an unending maze, and the use of modifiers further adds to the challenges of ensuring coding accuracy and specificity. But, believe it or not, modifiers are there to help you get your rightful reimbursements. Since care is often tailored to individual patient needs, sometimes, the complexity of the services can be

We understand the frustration when you are all prepped and ready to cure, but due to unforeseen circumstances, you are forced to abort the procedure. But do you know what is more frustrating than that? When insurance payers refuse to reimburse you for all the preliminary work you did for the surgery. In a split

Modifiers can be confusing, especially when it comes to determining which one to append, what conditions must be met for their proper application, and when to avoid using one altogether. Yes, modifier usage is not mandatory. You may encounter situations where modifiers are unnecessary. And this is the big mistake most individuals make. In pursuit