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tci ED Coding & Reimbursement Alert - 2002 Issue 3

Alter Your Use of Modifiers and Avoid the Potential for Abuse

Few days pass when professional coders who often code dozens of records in each eight-hour period aren't faced with the prospect of adding modifiers to the services emergency physicians provide. In some cases, the choice of modifiers is clear and the circumstances requiring them undeniable. At other times, however, the coding may be less than clear-cut. "Modifiers have been implemented with a very clear purpose," says Carol Pohlig, BSN, RN, CPC, who works in the department of medicine at the Hospital of the University of Pennsylvania. "They identify circumstances or procedures that vary from the original code...

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