Modifiers for procedure codes

    • [DOCX File]MEDICAL FEE SCHEDULE

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      For procedure codes with no CPT®/HCPCS code or for procedure codes with a status indicator of N, there is no separate payment. If the ACH Fee, CAH Fee or ASC Fee listed in Appendix IV is $0.00 for a procedure code with a status indicator other than N, then payment must be calculated at 75% of the health care provider’s usual and customary ...

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    • [DOC File]INTRODUCTION

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      CODES, MODIFIERS and SYMBOLS. The coding for physician services in this edition of the Official Medical Fee Schedule primarily uses the procedure codes, descriptors, and modifiers of the American Medical Association's Physicians' Current Procedural Terminology (CPT) 1997, copyright 1996, American Medical Association.

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    • [DOC File]Modifiers Used With Procedure Codes (modif used)

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      Service or Procedure Codes or Code Ranges Required Modifiers Allowable Modifiers Evaluation and Management (E&M) performed by a Non-physician Medical Practitioner (NMP) 99201 – 99215, 99221 – 99233, 99238 – 99499 (See the Non-physician Medical Practitioners section in the appropriate Part 2 manual for more information.)

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    • [DOC File]Modifiers: Approved List (modif app)

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      Below is a list of approved modifier codes for use in billing Medi-Cal. Modifiers not listed in this section are unacceptable for billing Medi-Cal. Modifier Overview Some modifier information in this section is taken from the CPT® code book (Current Procedural Terminology code book) and HCPCS code book (Healthcare Common Procedure Coding ...

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    • [DOC File]Section III All Provider Manuals

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      Each procedure or service is identified with a 5-digit code. The use of CPT codes simplifies the reporting of services. The CPT book and the HCPCS-Level II book also include modifiers, which are used in conjunction with some procedure codes. Providers can order the CPT and HCPCS books from various suppliers.

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    • [DOC File]Department of Veterans Affairs Home | Veterans ...

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      CPT Modifiers by Code Range [ICPT MODIFIERS BY RANGE] This option will sort and list all modifiers by range of CPT codes to which they apply. An abbreviated example of this output, which requires a 132 column margin width, is provided below. CPT MODIFIERS BY RANGE LIST APR 7,1997 11:25 PAGE 1

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