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Modifier SA-anyone know

  1. #1
    Overland Park, KS
    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

  2. #2
    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

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

  4. #4
    Hartford, CT
    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
    Overland Park, KS
    Thanks so much for the guidance!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

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

  7. #7
    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.

    Krishna Moorthy. CPC.
    Last edited by; 12-28-2012 at 12:25 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
    every visit.

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