Below you can find the origin and destination codes for ambulance modifiers and the HCPCS codes for reporting ambulance services. 1. How Are Ambulance Modifiers Used? Ambulance service claims must be reported with origin and destination codes provided by HCPCS. Two alpha characters create these codes and can be reported as ambulance modifiers. The alpha…
HCPCS introduced severity modifiers to identify the functional impairment of a patient. Below we explain what the severity modifiers are and how to use them. 1. What Are The Severity Modifiers? Severity modifiers show a patient’s functional impairment with a percentage. The functional impairment of a patient is determined by a; A severity modifier shows…
All hemodialysis claims must indicate the dialysis patient’s most recent Urea Reduction Ratio (URR). Bill all claims with CPT 90999 in conjunction with HCPCS modifier G1, G2, G3, G4, G5, or G6. 1. General Billing Guidelines Select the proper modifier from G1 to G5 based on the reading. For example, when using modifier G1, you…
Report HCPCS modifier FY to a radiology code to indicate that a digital image was created using cassette-based imaging, such as a phosphor imaging plate (IP), rather than conventional film. 1. What Is Modifier FY? Providers are required to append HCPCS modifier FY to a radiology code when the imaging involves cassette-based imaging. Medicare payments…
Modifier V5, Modifier V6, and Modifier V7 are described by HCPCS to report the type of vascular access used by the provider during a hemodialysis procedure on a patient with End Stage Kidney Disease (ESRD). Click on a link to jump to the section of the article. Modifier V5 Description Billing Guidelines Modifier V6 Description…
Modifier AU, Modifier AV, and modifier AW are described by HCPCS and identify supplies and equipment that are covered by more than one DMEPOS benefit category. Click on a link to jump to the section of the article. Modifier AU Description Billing Guidelines Modifier AV Description Billing Guidelines Modifier AW Description Billing Guidelines 1. Modifier…
Report the EA modifier when a health provider administers an agent to stimulate red blood cell production in a patient to treat anemia due to anti-cancer chemotherapy. What Is Modifier EA? Report modifier EA if a health provider administered an ESA (Erythropoietic Stimulating Agent) to a patient with anemia. The provider administers ESA to a…
GT Modifier appends with the service when the physician performs services via interactive audio and video telecommunication systems. Summary Modifier GT uses for the services when synchronous telemedicine service renders to the patient via interactive audio and video telecommunication systems. There is an exception for demonstrations in Alaska and Hawaii, and all telehealth must be…
HCPCS level II modifiers are used to identify procedure codes that are not included in CPT codes and not covered by list of CPT modifiers. They are used to identify services, supplies or products such durable medical equipment, ambulance services, orthotics, etc. What Are HCPCS Level II Modifiers? As mentioned in the introduction, HCPCS Level…
GP Modifier appends for the services when the physician delivers under an outpatient physical therapy care plan. In this article we discuss the definition of Modifier GP and when it is appropriate to use it in medical coding. GP Modifier Description GP Modifier attaches to the service when the physician or physical therapist provides the…
