Health Information Management

Pay-per-view: Right modifier, wrong modifier? How can you tell?

APCs Insider, October 8, 2010

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Determining proper modifier use can be a challenge for even the most experienced coder. If you forget to add a modifier or, worse, append the wrong one, your facility could face underpayment or an audit by a recovery audit contractor. 

Modifiers provide additional information about the service. For example, they might indicate that the service is separate and distinct from other services (e.g., modifier -25 or -59), that a service has been modified in some way from the original intent of a code (e.g., modifier -52), or that the service is linked to a specific anatomical site (e.g., modifiers -RT, -LT, -T1). 

Continue reading “Right modifier, wrong modifier? How can you tell?” on HCPro’s website. Subscribers to
Briefings on APCs have free access to this article in the October issue.



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