modifiers

  1. K

    Wiki Using modifier 59 with RT and LT

    I have a doctor who bills for tubes as: 69436, RT 69436, LT, 59 At a seminar he just attended, he was told that he doesn't need the 59 since they are marked RT and LT. Is this true? He was told that this would "red flag" the claim.:confused:
  2. L

    Wiki Modifier usage for National Exam

    I'm confused. I'm taking the National Exam in a month, and I am taking an on-line course in preparation. AAPC has provided the instructor with all the answers for the Step-by-Step text book. The instructor keeps crossing out things and writing in her own. The latest one: Well baby check-up...
    • losborn
    • Thread
    • cpc-medical-coder e/m modifiers
    • Replies: 1
    • Forum: E/M
  3. A

    Wiki Modifier 52

    I was asked the other day about the use of Modifier 52 specifically as it relates to billing code 95974 (Electronic Analysis of Implanted Neurostimulator, First Hour. This is a time based code for the first hour of testing. Does a Modifier 52 have to be appended if the dosing time falls short of...
  4. B

    Wiki Use of -25 Modifier with in-office procedure

    Can anyone cite a source that will clarify if a -25 modifier appended to a 99214 E&M visit when 46916 times 8 was done in the office at the time of the visit for "golfer's elbow" (different DX for E&M service) procedure code? Wouldn't the level billed for the E&M exclude time spent performing...
  5. C

    Wiki Modifiers AF/AG/AM and GF

    We have mulitple specialties in our office, sometimes we get denied by insurances when 2 specialties see pts in hospital on the same day. Becuase of this one of our Physicians was told by another Physician that their coder attaches modifiers to everthing and gets paid. The codes she wants us to...
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