AHA Coding Clinic® for HCPCS - 2015 Quarter 2; For Your Information
Value Code FD
The Central Office on HCPCS has received numerous inquiries recently regarding Modifier FD. We established that there is definitely some confusion here because there is no Modifier FD but instead a Value Code FD. For Medicare reporting Value Code FD, Credit received from the manufacturer for a replaced medical device, replaced Modifier FB, Item provided without cost to provider, supplier or practitioner, or full credit received for replacement device, and Modifier FC, Partial credit received for replacement device, on January 1, 2014. For additional information regarding Value Code FD go to http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8658.pdf . You may wish to...
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Article Overview
This short Find-A-Code article addresses a common terminology mix-up involving Medicare claims reporting and explains that the subject is a value code rather than a modifier. It is relevant to coders, billers, and reimbursement staff who work with device replacement claims and payer-specific reporting guidance. The article also points readers to external CMS material and notes a reporting change effective in 2014.
Why This Topic Matters
Accurate reporting for device replacement claims depends on using the correct claim-reporting term and understanding when payer guidance applies. This article helps reduce confusion between similar-sounding coding concepts and highlights that different payers may have their own instructions.
What You Will Learn
- How the article frames the distinction between a modifier and a value code
- What broad Medicare reporting topic the article addresses
- Where to look for additional CMS and payer guidance on this subject
- The general context for a 2014 reporting change
Who Should Read This
- Medical coders
- Billers
- Revenue cycle staff
- Claims processing staff
- Compliance staff
Modifiers Discussed
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