tci Part B Insider - 2015 Issue 6
Physician Notes: This MAC Updates Its Modifier 51 Rules--Reminding You NOT to Use It
Plus: Don’t take ‘credit’ for toxic drug management if you aren’t monitoring it. Both CPT® and CMS create modifiers to make your coding easier—but sometimes those modifiers aren’t actually necessary. Such is the case with one specific modifier, according to a recent transmittal by Part B MAC NGS Medicare. On Feb. 6, NGS Medicare issued new policy education for modifier 51 (Multiple procedures) explaining that it “denotes more than one medical/surgical procedure is being performed by the same physician on the same day during the same encounter.” However, the MAC adds, &ldquo...
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