Proper use of modifier 53
Answer Key - Introduction to Clinical Coding
Modifier – Enter the appropriate modifier, as applicable. Up to three modifiers can be entered for each detail line. Required, if applicable. 24e Diagnosis Code – Enter the numeric codes (1, 2, 3, or 4), in order of importance, which correspond to the ICD-9-CM diagnosis code listed in form locator 21.
Reduced Services (CPT Modifier 52) and Discontinued Procedures (…
5. Identify the proper use of modifier 59 . 6. Research Medicare Transmittals and CPT Assistant pertaining to use of modifiers . 7. Given a scenario, append a CPT code with the correct modifier . Suggested Student Activities and Assignments . Search CMS website (www.cms.gov) for Medicare Transmittals pertaining to use of modifiers.
[DOC File]M21-4, Appendix C - Veterans Affairs
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Modifiers acceptable to OWCP are listed on the Modifier Level Table, fs10mod_table.xls. Non-physician providers who fail to use proper modifiers may not be reimbursed until services are correctly billed. Home Health Services: Home health services should be billed under the appropriate 2010 HCPCS codes or OWCP program-specific codes.
[DOCX File]Microsoft Word - SD_53_263_rn.doc
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The focus of these exercises is to practice accurate assignment of CPT codes without regard to payer guidelines. The answers will include use of lateral modifiers (such as RT, FA) and Modifier 50 for bilateral. For the purposes of instruction, this book uses a dash to separate each five-character CPT code from its two-character modifier.
[DOC File]Instructions for Completing the Well Child Care Record ...
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To use the Wait List Import Tool sites must convert their wait lists from its current format into a comma delimited text file (.txt). This is the excepted format for the tool. This file is called the Import file. The Import file can be created from Vista using FileMan’s DATA EXPORT TO FOREIGN FORMAT options or from Excel using the CSV format.
[DOC File]OWCP MEDICAL FEE SCHEDULE - 2001 - DOL
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Correct use of the end product system facilitates proper control of pending workloads, and appropriate work measurement credit. ... BDD intake and rating activity sites may use modifier 7 only for EPs 020 and 290. The modifier 1 for EPs 110 and 010 should be used only for original BDD claims and not as a sequential EP to correct a processing ...
[DOC File]Instructor’s Guide for ICD-9-CM Diagnostic Coding and ...
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The modifier 1 should only be used for original BDD claims with EPs 110 and 010. The modifier 6 should only be used by VAROs Houston, Pittsburgh, and White River Junction. The modifier 7 should be used by the PMCs. BDD intake and rating activity sites may use modifier 7 …
[DOC File]OWCP MEDICAL FEE SCHEDULE - 2001
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Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances. Modifier 59 should NOT be appended to an E/M service. To report a separate and distinct E/M service with a non-E/M service performed on the same date, use modifier 25 with the E/M code.
[DOC File]M21-4, Appendix B - Veterans Affairs
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Jun 30, 2020 · Modifiers acceptable to OWCP are listed on the Modifier Level Table: Effective__ June_30_2020_mod_table.xls. Non-physician providers who fail to use proper modifiers may not be reimbursed until services are correctly billed. Home Health Services: Home health services should be billed under the appropriate HCPCS codes or OWCP program-specific codes.
[DOC File]The Oklahoma HealthCare Authority
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Jun 08, 2020 · Where the proper code has fewer than 3-7 characters, the provider may not fill with zeroes. Hospitals must use appropriate diagnosis codes when billing for serious reportable events. Ambulance claims, must include a diagnosis code. If unknown, use 780.99 “Other General Symptoms” for …
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