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LIST OF MODIFIERS

Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...

Claims with HCPCS code A9552 reported for Oncologic conditions will be held by Medicare


Claims for Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for solid tumors submitted between October 6 and November 30, 2014 will be held to ensure that Medicare systems can accurately calculate payments. Specifically, these are claims containing Healthcare Common Procedure Coding System (HCPCS) A9552 for all oncologic conditions. No provider action is required.


For more information: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8739.pdf
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