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

Current procedural terminology modifiers 25 and 57 may be confusing to some coders, but each serves a specific purpose, according to an AAPC report.

Q: What CPT codes and modifiers would be used to report excisional debridement for removal of a 2x4-cm ulcer on a patient’s right buttocks with vacuum-assisted closure (VAC)?

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 59 is the most commonly used and abused modifier for Medicare reimbursement of CPT codes in acupuncture, breast biopsies, physical therapy, radiology, surgery and other medical practices.

In addition to the creation of several new CPT codes for 2015, one CPT change is not about a new code but rather an old modifier. Modifier –59 is used when we want to communicate with the ...

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.

This modifier was added to CPT in 2017. Your staff will need to verify that the insurer recognizes and pays telehealth claims. Medicare only allows telehealth if the patient is in an underserved area.

The new CPT ® code, +92972, has been created to describe when coronary IVL is performed and has been assigned work Relative Value Units (RVU) and professional fees that remunerate physicians for ...