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BC Advantage - 2017 Issue 4

WHY USE MODIFIERS?

Modifiers are extremely important to medical coding. They indicate that a service or procedure was altered, by a specific circumstance, without changing the intent of the code. For example, to show that a service was increased or took longer than normal you might use modifier -22 or -23 depending on the place of service. Modifiers play an important role in explaining to payers that additional procedures or services are in fact justified.Modifier assignment can be confusing. When trying to determine if a modifier is appropriate, coders and billers should ask if any of the following apply:1. What is...

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