Ophthalmology and Optometry Coding Alert

Reader questions:

Update Your Software and Billing With 2011 CPT Modifier Changes

Question: We read lots of information about CPT 2011 code changes, but are there any modifier changes we should be aware of?Kentucky SubscriberAnswer: This year it is important to know about a few new modifiers, as well as some revisions to existing CPT modifiers.For example, three existing CPT modifiers now include nonphysician providers in the descriptors, as follows:76 -- Repeat procedure or service by same physician or non-physician provider77 -- Repeat procedure or service by another physician or non-physician provider78 -- Unplanned return to the operating/procedure room by the same physician or non-physician provider following initial procedure for a related procedure during the postoperative period).In addition, CPT introduced modifier 33 (Preventive service), which allows you to tell your payer that you performed a preventive service and that the patient's deductible and coinsurance do not apply under the new Patient Protection and Affordable Care Act (PPACA) rules.New ABN modifier: You have a new modifier [...]
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 your eNewsletter
  • 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
*CEUs available with select eNewsletters.

Other Articles in this issue of

Ophthalmology and Optometry Coding Alert

View All