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Modifier Sequencing

  1. Question Modifier Sequencing
    Medical Coding Books

    Have a question about how to sequence modifiers on a claim. We are billing for a surgeon, and we are being told to always put the "Fee increasing " modifier (ex. 22) as the first modifier, even in front of the assist or co-surgeon modifier.

    EX: 63030,62,22 is how we had been submitting the charge and now a billing rep is telling us we have to submit as 63030,22,62.

    We have looked high & low and can't find anything definative to support either position. I know that modifier acceptance is of course carrier specific, so we are in a quandry about being told to change how we have been sequencing the modifiers.

    Any guidence/help is greatly appreciated.


  2. #2
    Johnson City
    Our local Medicare has a modifier reference billing guide (see attached link) I took a look at it and it states mod 22 is a pricing modifier and 62 is a statistical pricing modifier it instructs the order of ranking would be Pricing modifier first (22) then the statistical modifer second (62) Take a look at the above link see what you think.

    Melissa Jewett, CPC

  3. Smile

    Thanks for the link - great tool to have.


  4. #4
    Stuart Sailfish Chapter
    Wow, that is a great link, Thanks
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    Director of Operations
    Ear, Nose and Throat Associates of South Florida, PA

    "Nothing is stronger than the heart of a volunteer"

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