tci E/M Coding Alert - 2016 Issue 6

Modifiers: Follow 32's Rules When Coding Mandated Services

Expert: Second opinion requests often lead to modifier 32 situations. When a provider performs an evaluation and management (E/M) service that’s been mandated by an outside entity, you’ll want to consider adding modifier 32 (Mandated services) to the claim to bolster your reimbursement chances. Check out this Q&A on adding modifier 32 to your E/Ms for mandated services. Q: In which situations would you use modifier 32? A: Use modifier 32 anytime the provider performs a service that was mandated by someone or by a specific contract, explains Marcella Bucknam, CPC, CPC-I, CCS-P, CPC-H, CCS, CPC-P...

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