AMA CPT® Assistant - 2007 Issue 1 (January)

Modifiers (January 2007)

January 2007 page 30d Coding Communication:Modifiers Question Is it appropriate to append modifiers to "unlisted procedure" codes? AMA Comment No. Because unlisted codes do not include descriptor language that specifies the components of a particular service, these codes are reported without modifiers. Modifiers are used to indicate that a service or procedure performed was altered by some specific circumstance but not changed in its definition or code. Because unlisted codes do not include descriptor language that specifies the components of a particular service, there is no need to "alter" the meaning of the code. Modifiers (January 2007). CPT® Assistant...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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