Home » Archive by categoryModifier

Main difference between Modifier 58, 78 and 79

Main difference between Modifier 58, 78 and 79
Reporting procedures and services performed in the outpatient setting may create a challenge for coders when a return to the operating room for a related or unrelated procedure or service becomes necessary. There are different modifiers used for outpatient setting like 59, 76, 77, 58, 78, 79 etc....
Continue reading

Superb tips for Coding Modifier 57

Superb tips for Coding Modifier 57
Definition of Modifier 57 There are certain modifiers which should be used only with E&M CPT codes, for example 24, 25 and 27. Even Modifier 57 should be used along with E&M codes (99201-99499).  But, modifier 57 is not just limited to E&M codes, this modifier can also...
Continue reading

Coding rules for Modifier 32 and 33

Coding rules for Modifier 32 and 33
There are modifiers in medical coding which are used very rarely. Modifier 32 and 33 are some of these modifiers which are used only when there is a clear documentation for coding these modifiers. We have already discussed about modifier 22, 23, 24 and 25 previously. Also, you...
Continue reading

Coding Rules for Modifier 22, 23, 24 and 25

Coding Rules for Modifier 22, 23, 24 and 25
Modifiers play a very important role in procedure coding. As a medical coder, I have always struggled a lot in using modifiers. Even when I was preparing for my CPC exam, I was not much confident with the use of modifiers. But, after years of experience in medical...
Continue reading

Secret Tips for using Modifier 76

Secret Tips for using Modifier 76
Basics about 76 modifier As per my knowledge and experience, Modifiers play a very important role in Medical coding. Modifiers are very used when there is a modification in the procedure performed. Modifiers are very important for Clearing CPC certification exam as well. There will at least one...
Continue reading

Become Expert in Using Modifier 25 & 27

Become Expert in Using Modifier 25 & 27
Basics about modifier -27 and 25 Many times, we get multiple visit cases of same day for same patient in Emergency Department. In such scenarios, we have to use modifiers to avoid them as duplicate claims. I have already posted previously how and which modifiers are used in...
Continue reading

Killer tips for ICD 10 code for GERD

Killer tips for ICD 10 code for GERD
Basics of ICD 10 code for GERD Gastroesophageal reflux disease (GERD) is a chronic digestive disease, which happens when a muscle at the end of the esophagus does not close. It occurs when the stomach content flows back into the food pipe(esophagus). This reverse flow causes reflux, that...
Continue reading

XE Modifier Example for Medical Coders

In my previous post, I have shared about how to use XE modifier while coding medical charts in medical coding. In this post, I will tell you how the documentation of the report is given for applying XE modifier in coding. As we know, XE is modifier is...
Continue reading

How to use XE (Encounter) modifier in 2015

As we know there are few modifiers have been introduced in 2015. These new modifiers are used in place of 59 to differentiate between procedures more specifically. XS, XE, XU and XP are the new modifiers have been included in 2015 new codes. Now, we will learn here...
Continue reading

Tips when to use CCI edit in Radiology

Use of CCI edit with Procedure codes We know that there are few procedures, which have to be coded with modifiers to provide extra information regarding the procedure performed. As there are many procedures can be done on same day if the diagnosis is not by found easily,...
Continue reading

Subscribe to Blog via Email

Enter your email address to subscribe to this blog and receive notifications of new posts by email.

Join 96 other subscribers

Understanding Medical Coding: A Comprehensive Guide CPT copyright 2014 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association
DMCA.com Protection Status CPT copyright 2014 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association