tci Part B Insider - 2016 Issue 10

Modifiers: CMS Says 'Use Modifier 51'--Some MACs Say 'Not So Fast'

Conflicting information can be confusing about the multiple procedures modifier. Coders got both good news and bad news this week, when CMS offered some words of wisdom on modifier 51 (Multiple procedures). The good news was that a CMS representative provided excellent advice on how to use this modifier. The bad news? Payers have been saying for years that they don’t want you to use it on your Medicare claims. To navigate the variations between Medicare’s advice and your MACs’ preferences, you’ll have to cross-reference your payer policies with Medicare’s regulations. Use Modifier on &lsquo...

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.