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Wiki Modifier 52 in New York

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orthobiller2017

Networker
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45
Location
East Northport, NY
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I am looking for clarification how best to submit modifier 52 in NY. Should the price be reduced 50% or is that per the doctor. Cms seems not specific about this. Currently we use 1 fee schedule so in cases of 52 Should it not be expect medicare to automatically adjust and do the fee discount ourselves using the medicare allowance (again currently we use 1 fee schedule for all payors and adjust off per the remittance advice) so this means we would be using 2 fee schedules. Also I am currently putting a note in box 19 (electronic equivalent) thanks for any guidance
 
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