tci Outpatient Facility Coding Alert - 2014 Issue 5

Modifier 101: Refresh Your Memory on Modifier Intent

Don’t miss when you shouldn’t report RT, LT, or 50. A modifier gives clarity to the code used for billing. It is a numeric or an alpha numeric code added at end of the procedure code. Modifiers can help to change the description of the services without changing the procedure code itself. It provides specificity by adding the additional information, for example anatomical site. They also help in eliminating duplicate billing and unbundling.    In appropriate situations use the correct modifiers with the following codes: Surgical procedure (codes 10000-69999) Radiology (codes 70010–79999) Diagnostic procedures (codes...

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