tci General Surgery Coding Alert - 2007 Issue 4

QUICK TIP: 'Small' Surgeries Might Lead to Bigger Payments -- Here's How

Apply modifier 63 much like 22, but not at the same time Surgical procedures on infants can be especially challenging, and CPT offers a modifier -- modifier 63 -- to help your surgeon gain additional reimbursement for this effort. But payment with 63 (Procedure performed on infants) is not automatic. You can only use the modifier under very specific circumstances, and you-ll probably have to be extra vigilant with your documentation to support its use. Consider Patient Weight You should append modifier 63 only when the patient weights 4 kg or less at the time of the procedure.Applying...

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