tci Part B Insider - 2007 Issue 38

HCPCS 2008: New Modifier Makes MUEs More Palatable in 2008

And Synvisc codes change ... againIf you need a way to override a medically unlikely edit, HCPCS offers you a new modifier effective Jan. 1.Starting in January, the medically unlikely edits (MUEs) will limit the number of units of a particular code that your physician can bill. To avoid MUE-related denials, you can now append new HCPCS modifier GD (Units of service exceed MUE value but represent medically necessary services) to your claim.CMS has not yet announced whether this modifier will apply to both CPT and HCPCS codes. But assuming it does, modifier GD could come in handy...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.