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Modifier 27

  1. #1
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    Default Modifier 27
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    I have a radiology claim with a 27 modifier. What is this modifier and can it be used on a radiology claim??

    Thanks in advance for any help!

  2. #2
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    Columbia, MO
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    The 27 modifier is for facility E&M levels only. It is to indicate the second and subsequent Er or Clinic visit on the same day, so no it does not apply to radiology codes, only E&M.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
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    Duluth, Minnesota
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    could have been a typo - might have meant 26 mod (profee side)..??

    just guessing...
    Donna, CPC, CPC-H

  4. #4
    Location
    Columbia, MO
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    That would make more sense, but it stands to reason the 27 would cause more confusion.

    Debra A. Mitchell, MSPH, CPC-H

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