Results 1 to 10 of 10

Modifier SA-anyone know

  1. #1
    Location
    Overland Park, KS
    Posts
    1,166
    Default Modifier SA-anyone know
    Medical Coding Books
    Does anyone know any info regarding this modifier? We have been getting requests lately from a payer requesting we append this modifier for an NP billing under the physician. Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. #2
    Default
    My guess would be so they know that the NP was actually the one who seen the patient. Ive never ran into this issue. Like to know others expierences
    Herbie W Lorona Jr., CPC, CPC-H
    hlorona@up2parmedicalclinic.com

  3. #3
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Thanks. Anyone else using this modifier?
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  4. #4
    Location
    Hartford, CT
    Posts
    723
    Default
    The only one I know that uses this modifier is medicaid. In the State of CT we have to append the SA modifier to inpatient visits when our APRN sees the patient instead of the doctor.

    Doreen, CPC

  5. #5
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Thanks so much for the guidance!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  6. Default
    For medicaid payors, we have to append SA modifier when a NP sees our internal med. patients.

  7. #7
    Default
    Yes, we use Modifier SA for Medicaid patients evaluated by NP.

    Thank You,

    Purnima S, CPC

  8. Default SA modifier.
    Yes, We need to apply SA modifier for Medicaid Insurance alone if NP, PA alone involves in the service.

    Thanks
    Krishna Moorthy. CPC.
    Omega.
    Last edited by k.murthi22@gmail.com; 12-28-2012 at 01:25 AM.

  9. #9
    Default SA Modifer When to use?
    would this only be if NP is seeing patient for new problem or is this every visit?

  10. #10
    Default
    every visit.

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 02:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 01:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 08:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 01:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 04:59 PM

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?

Login

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.