Coding/Billing Tips & Resources

CMS Introduces Four New Modifiers in Lieu of Modifier 59

The Centers for Medicare & Medicaid Services (CMS) is establishing four new Healthcare Common Procedure Coding System (HCPCS) modifiers to define subsets of the -59 modifier, which is used to designate a "distinct procedural service."...

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OPPS/ASC October Update Draws Attention

In October 2014 updates of the hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System, the Centers for Medicare & Medicaid Services (CMS) adds a number of new HCPCS Level II codes. Payment rate indicator...

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Differentiate Per Vaccine/Per Component Coding for Immunizations

When immunizations are performed, you should submit codes for both the administration and vaccine supply; however, a code for the vaccine is not reported if the vaccine is given to the provider for free, the patient brings the supply, or the supply is provided as part of a clinical trial....

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