Orthopedic Coding Alert

Reader Questions:

Keep An Eye on New Modifiers

Question: What modifier changes should orthopedic practices know about for 2011?Answer: This year it is important to know about a few new modifiers, as well as some revisions to existing CPT modifiers.2011 adds several new modifiers to your coding arsenal and updates the descriptors for several others you might often use. For example, you can use modifier GU (Waiver of liability statement issued as required by payer policy, routine notice) for dates of service Jan. 1, 2011 and thereafter.You might have times when it's appropriate to report modifier GU instead of the revised standby modifier GA (Waiver of liability statement on file; individual).Plus: Three existing CPT modifiers now include nonphysician providers in the descriptors, as follows:Modifier 76 -- Repeat procedure or service by same physician or non-physician providerModifier 77 -- Repeat procedure or service by another physician or non-physician providerModifier 78 -- Unplanned return to the operating/procedure room by the same physician or [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.