decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 7 (July)
ICD-10 tip of the week: Keep using CPT/HCPCS laterality modifiers
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Article Overview
This brief article discusses the transition to ICD-10-CM and how it affects reporting of laterality-related information alongside CPT and HCPCS billing codes. It is aimed at coders and billing professionals who need to understand current CMS guidance and the continuing role of CPT/HCPCS modifiers in physician services.
Why This Topic Matters
It helps coding staff avoid confusion during ICD-10 adoption by clarifying that laterality detail in diagnosis coding does not replace CPT/HCPCS reporting requirements.
What You Will Learn
- How ICD-10-CM laterality detail relates to CPT and HCPCS reporting
- What CMS has indicated about modifier use for physician services
- Why payer review of laterality-related coding may be important during ICD-10 adoption
- How to think about aligning diagnosis laterality with procedure coding requirements
Who Should Read This
- Medical coders
- Coding auditors
- Billing specialists
- Physician practice staff
- Revenue cycle professionals
Modifiers Discussed
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