Featured Post
For 2019, the E&M section of CPT code book will have two new codes for Interprofessional Telephone/Internet/Electronic Health Record...
Description: Prolonged Evaluation and Management Services
Usage: Modifier 21 is used when the face-to-face service provided is prolonged or otherwise greater than usually required for the highest level of evaluation and management (E&M) service within a given category. Modifier 21 is applicable only for the following E&M codes 99205, 99215, 99223, 99233, 99245, 99255, 99263, 99285, 99303, and 99313
Modifier -21 is used to report services performed that take more time or are greater than the highest level E/M code in a category.
Provider needs to submit a report with the claim.
Should not be reported with Non-physician service(s).
Reimbursement:
Modifier 21 is no longer valid for use. Please see codes 99354-99359 for prolonged services.
Blogger Widget
Popular Posts
-
Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...
-
0509T Electroretinography (ERG) with interpretation and report, pattern (PERG) 0510T Removal of sinus tarsi implant 0511T ...
-
CIGNA will adopt a common time frame for health care professionals to follow for submitting claims to CIGNA. Except where state law requir...
-
CIGNA covers chiropractic manipulation and adjunct therapeutic procedures/modalities (e.g., mobilization, therapeutic exercise, traction) ...
-
0159T Computer-aided detection, including computer algorithm analysis of MRI image data for lesion detection/characterization, ...
-
Sentinel lymph node identification and biopsy typically involves a multidisciplinary approach. A nuclear medicine procedure called lymph...
-
Urgent Care Centers are the Facilities that delivers Outpatient Medical Care usually for the conditions that does not require Hospital a...
-
The application of infrared therapy is considered medically necessary for patients requiring the application of superficial heat in conj...
-
Health benefit payers, including Medicare, are limited to use of those internal and external code sets identified in the implementation gui...
-
Bilateral services are procedures performed on both sides of the body during the same operative session or on the same day. The modifier...
