AHA Coding Clinic® for HCPCS - 2017 Quarter 1; For Your Information
Discontinuation of Modifier L1
Modifier L1, Provider attestation that the hospital laboratory test(s) is not packaged under the hospital OPPS, was deleted by CMS on December 31, 2016. This modifier was previously used to identify unrelated laboratory tests. ...
Subscribe or sign in to view the full article.
Article Overview
This article explains a CMS update affecting hospital outpatient laboratory billing and notes the discontinuation of a specific modifier previously associated with unrelated laboratory testing. It is relevant to coders, billing staff, and compliance teams who track outpatient prospective payment system changes and coding updates. The page provides a concise policy-oriented notice rather than a clinical discussion.
Why This Topic Matters
People responsible for hospital outpatient coding need to know when a modifier is no longer valid so claims and workflows can be updated accordingly. This kind of CMS change can affect documentation review, billing edits, and historical reference use.
What You Will Learn
- Why a hospital outpatient laboratory modifier was removed
- How CMS policy updates can affect outpatient billing references
- What types of coding stakeholders monitor these changes
- The relevance of the update to hospital OPPS-related workflow
Who Should Read This
- Hospital coders
- Outpatient billing staff
- Compliance professionals
- Revenue cycle teams
- Coding auditors
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com