AMA CPT® Assistant - 1998 Issue 1 (January)

Hospital Use of Outpatient/ASC Modifiers (January 1998)

January 1998 page 9 Coding Commentary Hospital Use of Outpatient/ASC Modifiers The June and September issues of CPT Assistant indicated that HCFA's implementation date for reporting certain Level I and Level II modifiers applicable to outpatient hospital reporting was October 1, 1997. According to HCFA, April 1, 1998, is the revised implementation date for Medicare fiscal intermediaries, and July 1, 1998, is the implementation date for hospitals. During preparation of the final instructions for the Medicare Intermediary Manual and the Medicare Hospital Manual regarding the use of modifier -53, to facilitate HCFA's ASC payment policy, the modifier -52 was...

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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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