Modifiers / PT, 33 modifiers address screenings that become diagnostic therapeutic

Article Overview

This article explains the general purpose and scope of two modifiers introduced in response to Affordable Care Act requirements. It covers how CMS and the AMA describe their use, the settings they apply to, and the broader preventive-service context that makes them relevant for Medicare and other payer claims processing. The article is useful for coders, billers, and compliance staff who need to understand when these modifiers are discussed and how the two approaches differ at a high level.