Posts tagged "Modifiers "

Tag Archives: Modifiers

MODIFIER 25: HOW TO USE IT APPROPRIATELY

CPT codes are used to report medical procedures and services for processing claims. However, medical coders know that, sometimes, a CPT code might not be enough to report a procedure or service. CPT modifiers ought to be applied with the codes to supply extra data regarding where, and why a procedure was performed. Of the numerous modifiers which will be applied to claims, modifier 25 usually causes confusion. Modifier 25 is defined as a “significant, separately identifiable evaluation and … Continue reading MODIFIER 25: HOW TO USE IT APPROPRIATELY

ENSURE PROPER REIMBURSEMENT BY THE CORRECT USE OF MODIFIERS

Earlier when procedure codes were not introduced, the health practitioners used to write the description of the service provided and the insurance carriers had to code the same and then pay the claim. To reduce the workload of insurance carriers, Medicare made it compulsory for the healthcare service providers to provide a medical code on … Continue reading ENSURE PROPER REIMBURSEMENT BY THE CORRECT USE OF MODIFIERS