tci Part B Insider - 2016 Issue 31

Modifiers: There's More to Appending Repeat Procedure Modifiers Than Code, Code, Repeat

Distinguish between the different services and modifier options. Coding for repeat procedures can be tricky—services need to be clearly defined, and this is why knowing how to use the correct modifier for the situation is crucial. If your claim looks like a duplicate bill due to a forgotten modifier, then you can be assured that your MAC will deny it. Know the Basics CMS affords coders several modifier options to help avoid duplicate billing snafus. The top three are straightforward in scope, and if put in the right spot on your claim, will make your coding easy. &ldquo...

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