AHA Coding Clinic® for HCPCS - 2002 Issue 2; For your information

New modifiers under the hospital OPPS

The Centers for Medicare and Medicaid Services (CMS) recently released a listing of all modifiers that are reported under the Outpatient Prospective Payment System (OPPS) as of April 1, 2002. Level I (CPT) -25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service -27 Multiple Outpatient Hospital E/M Encounters on the Same Date -50 Bilateral Procedure -52 Reduced Services -58 Staged or Related Procedure or Service by the Same Physician During the Postoperative Period -59 Distinct Procedural Service -73 Discontinued Out-Patient Hospital/Ambulatory Surgery Center (ASC) Procedure Prior...

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