tci General Surgery Coding Alert - 2020 Issue Q2

Reader Question: Update Modifier CR Use

Question: I’ve heard we are supposed to be using modifier CR on COVID-19 related claims. Could you explain what it is and how we should use it? Tennessee Subscriber Answer: Modifier CR (Catastrophe/disaster related) is required for applicable CPT®/HCPCS Level II codes (except telehealth) on Medicare Part B claims involving services covered during the COVID-19 public health emergency (PHE) based on a “formal waiver.” For instance, under section 1135 of the Social Security Act, Medicare may temporarily “waive” or modify certain Medicare requirements to ensure that sufficient healthcare items and services are available to...

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