• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki in stating modifiers, does the level I code have to come first?

Create Wiki Sort by votes
T

The Angel Of the South

Guest
Messages
92
Location
Sioux City, IA
Best answers
0
On a practicode case, I coded LT-22, and got dinged for stating them in the wrong order. The rationale says the modifiers are 22-LT. Would my code get rejected like that in real life? Are we required to state the level I modifier first and level II second?
 
0
Per the guidelines: If more than one modifier is needed, list the payment modifiers - those that affect reimbursement directly - first: Payment Modifiers included: 22,26,50,51,52,53,54,55,58,78,79,AA,AD, TC, QK, QW and QY
In the above Modifier 22 should be 1st and LT should be 2nd Modifier.
 
0
The Angel Of the South said:
On a practicode case, I coded LT-22, and got dinged for stating them in the wrong order. The rationale says the modifiers are 22-LT. Would my code get rejected like that in real life? Are we required to state the level I modifier first and level II second?
Click to expand...
Modifiers that change payment are listed first. Descriptive modifiers follow. An insurance would not process this line with -LT -22.
 
You must log in or register to reply here.
Top