modifer

  1. buskeys

    Question Modifier FP

    What situations can you use mod FP in? Guidelines? I am having a hard time finding a straight forward answer.
  2. buskeys

    99406!!! This code haunts me

    Please give any advice with 99406! We have so many issues with it. We have established what is and isn't medically necessary (providers are still not fully understanding that). We have had issues with modifier usage on this, time documentation, etc. I don't know why this code haunts me in every...
  3. J

    Question Modifiers

    cpt question: 64405 is a nerve block injection occipital. Insurance is rejecting it and asking for modifier. What modifier should be used and where did you find it if you can?
  4. 5

    post op visits modifier 24

    Hello, I was not able to find any post about post op care so here is my question. I need some help figuring out what we can bill for in the post op care. Most of the surgeries are 90 follow up that we deal with in our billing department. I bill for a group of multi specialty providers with...
  5. J

    Two E/M Services, Same Day at Same Clinic, But Two Providers? What modifier??

    Hello! So I work for a clinic, where we have a bunch of different providers who do different things, but they are all under E/M codes. So I just ran into something that I have never seen before. I was entering a 99215 encounter for a provider, and I saw that our EMR system automatically put...
  6. A

    Texas Work Comp Modifiers for 99080

    Hello - Does anyone know where I can find a list of appropriate modifiers for Texas work comp. We filled out the DWC073 and DWC069 stating the patient could now return to work. We billed our E/M code as well as the 99080 but used modifier 73. SOMR has kicked it back for the procedure code is...
  7. K

    Help! Nurse practioners and xrays incident to?

    FOR MEDICARE ONLY....WHAT MODIFIER TO WE PUT ON XRAYS DONE IN THE OFFICE WHEN BILLING UNDER A NURSE PRACTIONER, NOT INCIDENT TO? 26 OR TC?? WE HAVE BEEN PUTTING TC ON THE XRAYS WHEN BILLING OUR NURSE PRACTIONERS AS THEMSELVES BUT FOUND SOMETHING THAT SAID IT SHOULD BE 26? I THOUGHT THAT WAS...
  8. N

    Technical Component for Sleep Studies

    HELP! I'm a newer billing and still learning so much. The sleep center that my doctor always used just closed and he is wanting to start his own. He is looking into getting a HST machine and hiring a sleep tech to manage it right from our office. My question is being a physician office and...
  9. T

    modifer help Please

    We have a new computer system. We are running into a problem I haven't had before. A patient comes in for either a physical or AHA (G4038/G0439). If they have other problems we bill a E/M (99213)code also. Then if they have eg: 17000,20600,17110 etc. done I usually bill as follows. 99396/G0439...
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