Modifier Coding Alert
Calculate Your Fees
Published on Mon Apr 21, 2014
- CPT® code 23412 relative value units = 24.33
- Multiply 24.33 x 35.8228 (national conversion factor) = $871.57
- CPT® code 23415 relative value units = 19.82
- Multiply 19.82 x 35.8228 (national conversion factor) = $710.01
- Multiply $710.01 x .50 (percent of the regular fee schedule amount) for modifier 51 = $355.01
- CPT® code 23120 relative value units = 16.66
- Multiply 16.66 x 35.8228 (national conversion factor) = $596.81
- Multiply $596.81 x .50 (percent of the regular fee schedule amount) for modifier 51 = $298.41
- Total payment: $1,524.99
Other Articles in this issue of
Modifier Coding Alert
- Modifier Partners:
Knowing When You Should -- And Shouldn't -- Attach Modifiers 26/TC Is Key to Proper Payment
Nail down when one modifier can be used alone. If your physician provides diagnostic or [...] - ICD-10 Delayed Another Year
It was not an April Fool’s Day joke when, on Tuesday, April 1, President Obama [...] - Correct Coding Initiative:
Override CCI Edits, When Appropriate, With Modifiers 51/59
Recognize that Medicare prefers you don’t use one of these modifiers. Depending on the clinical [...] - Calculate Your Fees
CPT® code 23412 relative value units = 24.33 Multiply 24.33 x 35.8228 (national conversion factor) [...] - You Be the Coder:
Alert Billing With Modifier GA
Question: How can I avoid writing off charges for services if I know Medicare will deny [...] - Clip and Save:
Answer the Questions in This Chart to Make Correct Modifier 59 Decisions
Guard against overriding every ‘1’ bundle. You’re not alone if you think that you can [...] - Reader Question:
Try Modifier 22 for Two AEP Tests
Question: In order to determine frequency-specific testing results for a patient, my physician performed two comprehensive [...] - Reader Question:
Mind Your P Modifiers
Question: I need to determine which physical status modifier to use for a surgery involving a [...] - Reader Question:
Don't Lose Focus of Medical Necessity
Question: One of our providers did a left heart catheter with a left/right coronary angiogram, and [...] - Reader Question:
Base Use of Exclusion Modifiers on the Encounter
Question: My physician is treating a patient for services where we are able to use the [...]
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