tci Outpatient Facility Coding Alert - 2017 Issue 9

ASC Coding: Master Modifier Madness to Present ASC Claims Denials

Here are the tools you need to use SG, 73, 74 If you're new to ASC coding and have previously worked in physician office settings, you've no doubt encountered some quirky modifier rules that leave you scratching your head. Read on to ace modifiers in ASC settings. Understand How to Use Modifier SG Prior to 2008, an ASC coder billing Medicare for any service performed in the ASC had to list modifier SG (Ambulatory surgical center [ASC] facility service) as the first modifier on the claim. Now, Medicare no longer requires modifier SG, but some private payers do. If...

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