Wiki What does the A indicate?

[Ckrogers]

I have been working with a practice that performs Urolifts. We have been instructed to add modifer A to the codes 52441 and 52442 whenever they are done in our facility (52441-A). If this is an obvious question I apologize but, what does the A indicate? I don't see it as a normal modifier in my resources. Thanks for your help.

 

[daniel]

I would lean towards this being a internal modifier with your company or a insurance modifier. This is not a typical modifier in the CPT world.

Hope this helps.

 

[csperoni]

Yup - this must be an internal policy. What goes out the carrier is still 52441. You company wants or needs a way to track or modify based on the location. This would be rather common for procedures that are sometimes done in a facility, and sometimes done in a non-facility with a large practice expense difference based on location.
52441 is exactly that scenario. PE in a facility is 1.74. PE in non-facility is 31.41. This allows your employer to bill an appropriate fee based on their expenses.