ED Coding & Reimbursement Alert - 2021 Issue 5
Reader Questions: Maximize CS Modifier Use
Subscribe or sign in to view the full article.
Article Overview
This Q&A covers CMS guidance on modifier CS use during the PHE and highlights updates to the set of acceptable telehealth- and communication-related codes for Medicare claims. It is relevant to coders, billers, compliance staff, and providers who handle Part B claim submissions and need to track CMS and FFCRA-related billing changes.
Why This Topic Matters
Accurate use of modifier CS on eligible Part B claims was tied to pandemic-era Medicare policy, so staying current on the codes CMS accepts helped reduce claim denials and support compliant billing.
Article Sections
-
Question
A reader asks which services are appropriate for use with modifier CS during the public health emergency.
-
Answer
The response summarizes CMS’s updated list of acceptable codes and notes the policy context for Medicare claims during the emergency period.
-
Backtrack
This section reviews the earlier FFCRA and CMS policy background that led to modifier CS requirements for certain Part B services during the public health emergency.
-
HCPCS codes:
This section identifies newly accepted HCPCS codes associated with the CMS update for the relevant reporting period.
-
CPT® codes:
This section identifies CPT codes included in the updated CMS guidance and notes the timing of their acceptance.
What You Will Learn
- How CMS updated its acceptable code list for modifier CS during the COVID-19 public health emergency.
- Which broad categories of Medicare services were addressed in the update.
- How the article frames the relationship between CMS guidance, FFCRA policy, and Part B claims.
- How the article distinguishes between HCPCS and CPT code groupings in the update.
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Physicians and qualified health care professionals
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com