The Centers for Medicare and Medicaid Services acknowledges that there are code combinations that may warrant an exception in reporting based on clinical documentation. Coders tend to err on the side ...

In addition to the creation of several new CPT codes for 2015, one CPT change is not about a new code but rather an old modifier. Modifier –59 is used when we want to communicate with the insurance ...

While the -51 modifier is not an acceptable modifier for ASC use, some ASC carrier contracts/billing policies require it. Unless a facility is required to report the -51 modifier per written directive ...

Modifiers describe special circumstances without changing the definition or meaning of the code used to report services. Modifiers are added to CPT or HCPCS codes. Modifiers are like playing Monopoly.