tci Part B Insider - 2010 Issue 3

MODIFIERS: Learn the Truth About These Three Modifier Myths

Hint: Modifiers 22 and 52 don't take the place of using an unlisted code. Correct modifier use can make the difference between collecting for your services and finding a claim rejection in your inbox. Get to know the lowdown on these three modifier myths and you'll be on your way to reimbursement success. Myth 1: Modifier 24 Will Lead to Medicare Payment for Postop Complications. If a patient has a postoperative complication, some practices bill the complication treatment with modifier 24 (Unrelated evaluation and management service by the same physician during a postoperative period) appended. Reality: You should not...

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