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Thread: Modifier 27

  1. #1
    Join Date
    Apr 2007
    Seacoast- Dover New Hampshire

    Default Modifier 27

    AAPC: Back to School
    I am looking for supporting documentation to use this modifier..Any help is appreciated Thanks in advance
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  2. #2
    Join Date
    Apr 2007


    Quote Originally Posted by kbarron View Post
    I am looking for supporting documentation to use this modifier..Any help is appreciated Thanks in advance
    General Guidelines for Modifier –27

    A. Modifier –27 should be appended only to E/M service codes within the range of 92002-92014, 99201-99499, and with HCPCS codes G0101 and G0175.

    B. Hospitals may append modifier –27 to the second and subsequent E/M code when more than one E/M service is provided to indicate that the E/M service is “separate and distinct E/M encounter” from the service previously provided that same day in the same or different hospital outpatient setting.

    C. When reporting modifier 27, report with condition code G0 when multiple medical visits occur on the same day in the same revenue centers.

    As is true for any modifier, the use of modifiers –25 and –27 must be substantiated in the patient’s medical record.


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