ED Coding and Reimbursement Alert

If you missed CMS Transmittal 1136 released Nov. 1, 2012, you’re behind the curve on a crucial modifier update that could affect your claims. Unlike previous transmittals that include lists of hundreds of new or deleted coding pairs, this quarterly update adds four new modifiers. Previously, NCCI-associated modifiers are: E1, E2, E3, E4, FA, F1, F2, F3, F4, F5, F6, F7, F8, F9, LC, LD, RC, LT, RT, TA, T1, T2, T3, T4, T5, T6, T7, T8, T9, 25, 27, 58, 59, 78, 79, and 91. What’s new: Additional modifiers have been added to the above list of NCCI-associated modifiers that will allow an edit with modifier indicator of "1" to be bypassed when the modifier is utilized correctly. These modifiers are as follows: LM (Left main coronary artery); RI (Ramus intermedius coronary artery); 24 (Unrelated evaluation and management service by the same physician during a postoperative period); and 57 [...]