AAPC - Back to school
Results 1 to 4 of 4

Thread: Modifier Sequencing

  1. #1

    Question Modifier Sequencing

    AAPC: Back to School

    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
    Join Date
    Apr 2007
    Johnson City


    Our local Medicare has a modifier reference billing guide (see attached link) http://www.umd.nycpic.com/Guide-Modifier_Reference.pdf 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. #3



    Thanks for the link - great tool to have.


  4. #4
    Join Date
    Apr 2007
    Stuart Sailfish Chapter


    Wow, that is a great link, Thanks
    Candice Fenildo, CPC, CPMA, CPB, CENTC, CPC-I
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio

    "Nothing is stronger than the heart of a volunteer"

Similar Threads

  1. dx and sequencing help
    By ggparker14 in forum Diagnosis Coding
    Replies: 1
    Last Post: 04-18-2012, 12:08 PM
  2. Question on Modifier placement and sequencing...
    By Coder_Rick in forum Modifiers
    Replies: 3
    Last Post: 07-03-2010, 07:31 AM
  3. modifier sequencing
    By kmaher in forum Anesthesia
    Replies: 1
    Last Post: 03-12-2010, 01:04 PM
  4. Proper Modifier Sequencing
    By ladymerrell in forum Outpatient Facilities
    Replies: 4
    Last Post: 10-02-2007, 08:16 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.