PT Modifier Question

MedCoder51

Contributor
Messages
14
Location
Lauderdale Lakes, FL
Best answers
0
On a recent audit, I had a deduction for the use of the PT modifier. Question: Do any of you use the PT modifier for Medicare procedures only that are screenings that transition to therapeutic? I was told to use the modifier for ALL such procedures, regardless of Medicare, or not.
 

LisaAlonso23

Expert
Messages
386
Location
Sherman, TX
Best answers
0
For Medicare only, the ASA code will change from 00812 to 00811, but the modifier PT is appended for all payors when a screening becomes diagnostic resulting in a procedure.
 
Top