Outpatient Facility Coding Alert - 2020 Issue 6
Reader Question: Update Modifier CR Use
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Article Overview
This reader Q&A discusses when modifier CR is associated with Medicare Part B claims tied to the COVID-19 public health emergency, along with the broader waiver framework that supported its use. It is aimed at coders, billers, and compliance staff who need a general understanding of emergency-related claim processing, including which service categories may be affected and how the topic relates to CPT® and HCPCS Level II billing.
Why This Topic Matters
Emergency waiver policies can affect Medicare claim submission and processing, especially during a public health emergency. Understanding the scope of modifier CR helps billing teams recognize when an emergency-related claim context may apply.
What You Will Learn
- The general purpose of modifier CR in emergency-related Medicare billing
- How the COVID-19 public health emergency relates to waiver-based claims processing
- Examples of service categories that may be affected by emergency waiver use
- The historical context for modifier CR in prior disaster situations
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance staff
- Surgery practice administrators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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