AHA Coding Clinic® for HCPCS - 2014 Quarter 2; For your information
No-cost full credit and partial credit modifiers
The Centers for Medicare and Medicaid Services (CMS) no longer recognizes modifiers FB, Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device (examples, but not limited to, covered under warranty, replaced due to defect, free samples) , or FC, Partial credit received for replaced devices, to identify a device that was furnished without cost or with a full or partial credit. This change has been effective since January 1, 2014. Additional information regarding these changes to the reporting guidelines can be found on the CMS website at http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R2845CP.pdf . ...
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Article Overview
This article reviews a CMS update to device-related reporting guidance and explains that certain modifiers are no longer recognized for identifying devices furnished without cost or with credit. It is relevant for coders, billing staff, and compliance teams who work with Medicare reporting and device-related claims guidance.
Why This Topic Matters
Understanding this CMS change helps billing and coding professionals avoid using outdated reporting identifiers in device-related claims and align internal workflows with current Medicare guidance.
What You Will Learn
- Which CMS reporting guidance changed for device-related claims
- What broad categories of device furnishing situations are affected
- When the change became effective
- Where to find the referenced CMS source document
Who Should Read This
- Medical coders
- Billing specialists
- Compliance staff
- Revenue cycle professionals
- Healthcare administrators
Modifiers Discussed
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