Wiki 2022 New Modifiers FT, FS, FQ, FR

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guamafb@gmail.com

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Hello, I was asked to research new modifiers for 2022. My research from reading the final rule physician fee schedule tells me that FS will be required for the new split/shared policy. I think FQ and FR might be only for mental health claims. The FT is for separate and unrelated E/M (billing two e/ms on one day ) I am unable to find anything on CMS, or don't know where to look. FASCO chat, had no information.
FQ ADD (Audio only service)
FR ADD (Two-way a/v dir supervision)
FS ADD (Split or shared e/m visit)
FT ADD (Separate unrelated e/m)
Any assistance where to find additional information is greatly appreciated. Thank you.
 
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guamafb@gmail.com said:
Hello, I was asked to research new modifiers for 2022. My research from reading the final rule physician fee schedule tells me that FS will be required for the new split/shared policy. I think FQ and FR might be only for mental health claims. The FT is for separate and unrelated E/M (billing two e/ms on one day ) I am unable to find anything on CMS, or don't know where to look. FASCO chat, had no information.
FQ ADD (Audio only service)
FR ADD (Two-way a/v dir supervision)
FS ADD (Split or shared e/m visit)
FT ADD (Separate unrelated e/m)
Any assistance where to find additional information is greatly appreciated. Thank you.
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Hi there, I would start by reading the full descriptors for those codes, available in the HCPCS 2022 code set. You should also read the relevant sections (Telehealth and E/M visits) in the 2022 final physician fee schedule. I can share some slides I created about FS and FT if you like.
 
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Sorry i can't share the slides before the event, but here are the basics.

FS (Split [or shared] evaluation and management visit). - Append to claims for split/shared encounters in a facility setting.

FT (Unrelated evaluation and management [E/M] visit during a postoperative period, or on the same day as a procedure or another E/M visit. [Report when an E/M visit is furnished within the global period but is unrelated, or when one or more additional E/M visits furnished on the same day are unrelated]).

According to the final 2022 physician fee schedule FT should be reported with critical care visits performed during the global surgical period of another, unrelated procedure. However the wording of the descriptor suggests they would also be reported with other unrelated services, such as an E/M visit so stay tuned on that second bit.
 
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Just a follow up, apologies to everyone who has contacted me. I was waiting to update my slides with new information from CMS, especially for FS and FT, but I'm not seeing much that's really new beyond a mid-February implementation date for the new split/shared and critical care policies, including the new modifiers. For FS (split shared) just make sure it goes on facility-based and critical care split/shared services not office split/shared. For FT, use it when any billing provider performs a critical care service during the global surgical period of a procedure that is not related to the critical care service. That's for Medicare, private payers are being creative with FT.

The new telehealth modifiers have an implementation date of April 4.

Also there will be a webinar about split/shared tomorrow that may contain more info (I'm not doing this one) https://www.codingbooks.com/ympda012622
 
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Jkyles, can you tell me where you found the implementation date of mid-Feb for the FS,FT modifier? Per the HCPCS Jan 2022 update, it was effective 1/1/2022 but I am getting denials from Humana stating it was not effective for Jan dates.
 
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angelarleta said:
Jkyles, can you tell me where you found the implementation date of mid-Feb for the FS,FT modifier? Per the HCPCS Jan 2022 update, it was effective 1/1/2022 but I am getting denials from Humana stating it was not effective for Jan dates.
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Sure, I'm looking at some Medicare Change Requests that include the modifiers.


Codes usually go into effect at the start of the year but MACs and payers may not be ready to process them. Their systems will probably reject a code that hasn't been added.
 
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jkyles@decisionhealth.com said:
Sure, I'm looking at some Medicare Change Requests that include the modifiers.


Codes usually go into effect at the start of the year but MACs and payers may not be ready to process them. Their systems will probably reject a code that hasn't been added.
Click to expand...
Thank you so much, this is a big help.
 
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jkyles@decisionhealth.com said:
Sorry i can't share the slides before the event, but here are the basics.

FS (Split [or shared] evaluation and management visit). - Append to claims for split/shared encounters in a facility setting.

FT (Unrelated evaluation and management [E/M] visit during a postoperative period, or on the same day as a procedure or another E/M visit. [Report when an E/M visit is furnished within the global period but is unrelated, or when one or more additional E/M visits furnished on the same day are unrelated]).

According to the final 2022 physician fee schedule FT should be reported with critical care visits performed during the global surgical period of another, unrelated procedure. However the wording of the descriptor suggests they would also be reported with other unrelated services, such as an E/M visit so stay tuned on that second bit.
Click to expand...
Can someone please tell me if I need to use Modifier FS for other type of Medicare... such as United Healthcare Managed Medicare or Cigna Medicare?
 
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