PT vs 33 modifier

ChristineA

Networker
Messages
49
Location
Saint Joseph, MO
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0
Is the PT modifier only for medicare patients? A patient called today and said BC/BS told her that she would need to tell our office when we bill her for her colonoscopy that we need to use the PT modifier. Is this correct?
 

Lindseywingate1990

Networker
Messages
61
Location
Lake View, Alabama
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PT is a Medicare modifier and should be used when billing to Medicare. i would use modifer -33 when sending to BCBS or look at the policy on the web site on how they want it to be billed.
 

normal660

New
Messages
4
Location
Coconut Creek, FL
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0
PT modifier

The PT is for Medicare. The 33 is for other commercial. However BCBS claims if I was using the 33 is is not recognized so after contacting BCBS they indicated that they need no modifier as the screening diagnosis will tell that the service is a preventative service
 

EricaR

Networker
Messages
63
Location
Atlanta Perimeter
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0

eescalante

Networker
Messages
59
Location
Atlanta Perimeter
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BCBS of Georgia recognizes the PT modifier for colonoscopy, flex sig, etc. We have been using it successfully. However, BCBS plans from other states do not always use it.
 
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