Ophthalmology and Optometry Coding Alert

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Update Your Software and Billing With 2011 CPT Modifier Changes

Question: We read lots of information about CPT 2011 code changes, but are there any modifier changes we should be aware of?Kentucky SubscriberAnswer: This year it is important to know about a few new modifiers, as well as some revisions to existing CPT modifiers.For example, three existing CPT modifiers now include nonphysician providers in the descriptors, as follows:76 -- Repeat procedure or service by same physician or non-physician provider77 -- Repeat procedure or service by another physician or non-physician provider78 -- Unplanned return to the operating/procedure room by the same physician or non-physician provider following initial procedure for a related procedure during the postoperative period).In addition, CPT introduced modifier 33 (Preventive service), which allows you to tell your payer that you performed a preventive service and that the patient's deductible and coinsurance do not apply under the new Patient Protection and Affordable Care Act (PPACA) rules.New ABN modifier: You have a new modifier [...]
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