AHA Coding Clinic® for HCPCS - 2018 Issue 1; In This Issue

Use of modifier(s)

Modifiers are utilized to offer additional information about the procedure or service being provided, such as, reporting or indicating that a service or procedure was altered by a specific circumstance but not changed in its definition or code. Because unlisted CPT codes do not describe a specific procedure and/or service, it would be inappropriate to append a modifier to the unlisted CPT code. Please note there is an exception when the unlisted code descriptor specifies a body site. In this instance, only a HCPCS Level II modifier may be appended to the unlisted CPT code. For example, CPT code...

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