Modifiers for HCPCS codes

Modifiers for HCPCS codes HCPCS Code range hcpcs-modifiers

The HCPCS codes range Modifiers for HCPCS codes hcpcs-modifiers is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims.

HCPCS - MODIFIERS contains modifiers for Dressing for one wound, two wounds, three wounds, four wounds, five wounds, six wounds, seven wounds, eight wounds, nine or more wounds. Registered dietician, Specialty physician, Primary physician, Clinical psychologist, Principal physician of record.

HCPCS Code Range hcpcs-modifiers

Modifiers for HCPCS codes

Item or service furnished to an esrd patient that is not for the treatment of esrd

Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment

Item furnished in conjunction with parenteral enteral nutrition (pen) services

Special acquisition of blood and blood products

Orally administered nutrition, not by feeding tube

The beneficiary has been informed of the purchase and rental options and has elected to purchase the item

The beneficiary has been informed of the purchase and rental options and has elected to rent the item

The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision

Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission

Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary's dialysis benefit, is not part of the composite rate, and is separately reimbursable

Procedure code change (use 'CC' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)

Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable

Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity

Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable

Policy criteria applied

0 percent impaired, limited or restricted

At least 1 percent but less than 20 percent impaired, limited or restricted

At least 20 percent but less than 40 percent impaired, limited or restricted

At least 40 percent but less than 60 percent impaired, limited or restricted

At least 60 percent but less than 80 percent impaired, limited or restricted

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Modifiers for HCPCS codes HCPCS Code range hcpcs-modifiers

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HCPCS Code Range hcpcs-modifiers