tci E/M Coding Alert - 2023 Issue Q3

Modifiers: Remember: Modifiers Affect Codes’ Intentions

Hint: You may want to use 76 and 77 to show repeat procedures. If you’ve answered the questions on page 3, find out how they compare, here. Answer 1: Appendix A in the CPT® code book explains that modifiers: 1. Provide “the means to report or indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code,” and 2. “Enable health care professionals to effectively respond to payment policy requirements established by other entities.” Or, to put it another way...

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