Modifier 52 examples
[DOC File]DRAFT - Flash Code
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Note: It is up to the provider to determine if a modifier applies, and then choose the most appropriate modifier based on medical documentation. The definition of each modifier can be found within the document linked in the type of modifier column.
[DOC File]TITLE 10
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This listing includes the procedure code and modifier, if required, dates of service billed and units paid. ... Examples include, but are not limited to, the Fluharty-2, KLST-2, CELF-4 Screen or TTFC. ... (EIDT/ADDT) 49 Day Care Facility 52 Night Care Facility 52 Other Locations 99 Residential Treatment Center 56
Use These Coding Tips for Modifier -52 | Revenue Cycle Advisor
Modifier Code Description . . . 52 Reduced services: Under certain circumstances a service or procedure is partially reduced or eliminated at the physician's election. Under these circumstances the service provided can be identified by its usual procedure number and the addition of the modifier "52", signifying that the service is reduced.
[DOC File]Chapter 2 Program Overview and Requirements
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Provocative testing (CPT code 91052) can be expedited during gastrointestinal endoscopy (procurement of gastric specimens); when performed at the same time as GI endoscopy, CPT code 91052 should be coded with modifier -52 indicating a …
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The provider must also use Place of Service 02 (telemedicine distant site) when billing CPT or HCPCS codes with a GT modifier. 310.000 REMITTANCE Advice REPORTs 311.000 Introduction of Remittance Advice Reports 11-1-17 Remittance Advice (RA) reports are computer-generated documents that detail the status and payment breakdown of all claims ...
[DOC File]Section III All Provider Manuals
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(COP 482.52 (d), COP 482.53 (d) (2) 22. Final Diagnoses- The attending physician will record final diagnoses for all patient types (i.e., inpatients, outpatients) at the time of discharge. Practitioners will record the final diagnoses in full by dictating the discharge summary or writing the final diagnosis on the face sheet of the medical record .
[DOC File]Occupational, Physical, Speech Therapy Services Section II
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The following information blocks give examples of how new labels, new information blocks, and new or changed material within an information block will be indicated. ... and the procedure description in CPT® states “bilateral”, the service shall be identified with a modifier 52. ... Modifier 73 or 74 must be added to the procedure codes ...
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