Health Information Management

Q&A: Modifiers in ICD-10-CM/PCS

JustCoding News: Outpatient, March 21, 2012

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QUESTION: Will we still have modifiers after the switch to ICD-10-CM/PCS?

ANSWER: Yes, we will still have modifiers, but not in ICD-10-CM/PCS. We’ll still use modifiers with CPT® codes for outpatient procedures.

Remember when it comes to the ICD-10 system, the procedure codes in ICD-10-PCS are only going to replace the ICD-9-CM Volume 3 codes. So if you are an organization that never uses ICD-9-CM Volume 3 procedure codes, you likely will never use the ICD-10-PCS procedure codes, at least not as things currently stand.

CPT and HCPCS Level II codes will still continue to be used and yes, modifiers will be used with the CPT and HCPCS Level II codes.

ICD-10-CM/PCS codes do not have modifiers at the moment.

Editor’s Note: Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, director of HIM and coding at HCPro Inc., in Danvers, MA, answered this question during the “JustCoding Virtual Summit: ICD-10-CM and ICD-10-PCS.”

This answer was provided based on limited information that was submitted to JustCoding.com. Be sure to review all documentation specific to your own individual scenario before determining appropriate code assignment.

Need expert coding advice? Submit your question to Senior Managing Editor Michelle Leppert, CPC-A, at mleppert@hcpro.com, and we’ll do our best to get an answer for you.



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