tci Part B Insider - 2022 Issue Q1

Physician Notes: Pocket MAC Advice on Correct CS Modifier Usage

If modifier CS (Cost-sharing waived for specified covid-19 testing-related services that result in and order for or administration of a covid-19 test …) confuses you and factors into claims denials, you’re not alone. In fact, one Medicare Administrative Contractor (MAC) recently issued fresh guidance on the proper way to use the code. Remember: Starting on March 18, 2020, the Families First Coronavirus Response Act (FFCRA) mandated that Part B practices append modifier CS to any E/M service resulting in the provider either administering or ordering a COVID-19 lab test for the patient for the duration of the...

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