PT Modifier - CMS

sbarrila

Networker
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Does anyone have any information on the use of the PT modifier for screening procedures (GI) as of 1/1/11. I am unable to locate anything on CMS and a lot of our commercial payers & Medicare managed care plans know nothing about this modifier. Any help is appreciated. Thanks,
 

cbarry

Contributor
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The PT modifier information is located in the MLN Matters number MM7012 release date 07/30/10. Not sure if that helps or not. The good thing is that if the patient comes in for a screening colon and then becomes diagnostic, append the PT modifier and the deductible and the co-ins are still waived as if it were a screening.
 

sbarrila

Networker
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from what i understand it is only the deductible that is waived, not the coinsurance
 
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