The use, or misuse, of Current Procedural Terminology code modifiers in physician compensation plans could lead to unintended cash compensation figures, according to an article from Integrated ...

Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...

Modifier -33 is attached to the lab CPT code for the cholesterol screening. ICD-9 code V77.91 (screening for lipoid disorders) is coded as an additional diagnosis. Modifier -33 is not required on ...

Documentation tip: An AMA CPT directive states to report -53 modifier, which is for a discontinued procedure (physician modifier). ASCs should report according to MCR ASC Processing Manual and/or ...

On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...

When RAC contractors start complex reviews of Medicare Part B claims, they will likely hit practices in a weak spot, physicians’ use of CPT modifier -25, according to a report by the RAC Monitor.

Physicians who use the Practice Fusion electronic medical record (EMR) will have to pay separately for CPT code licensing fees next year -- and there has been confusion over the price. CPT codes are ...