August 6, 2009

IVR & Modifier 22: Obesity Isn’t Automatic Support

It takes extra work to perform interventional radiology procedures on morbidly obese patients, so why not append modifier 22 to any obese patient’s claim and get paid more, right?
Wrong: The fact that the patient is obese is not enough reason to append modifier 22. Payers reason that the “easy” and “hard” procedures will average out […]

Modifier 22 Moves for Ob-Gyn CodersThis U/S tactic will save you time — and add money…
Medical Coder’s Modifier 25 Checklist Append 25 with the greatest of ease … Appending…
Modifier 57 Alone Should Preclude the Need for 25 Medicare carriers don’t require you to append both modifiers….

Urology Coding Challenge: Gold Seed Marker Placement Plus TRUS

Question: How should I report the placement of gold seed markers and a TRUS done in the office setting?
Answer: First, you should report 55876 (Placement of interstitial device[s] for radiation therapy guidance [e.g., fiducial markers, dosimeter], prostate [via needle, any approach], single or multiple) for the gold seed marker placement. If the urologist also examined […]

Focus on Method to Ensure Proper Stereotactic Breast Biopsy CodingWatch out for the 77031 pitfall if the radiologist participates…
Coding Ovarian Cyst Removal: Are You Making These 4 Mistakes?Here’s how you could potentially add $184 to your bottom…
Where Anesthesia Coders Go Wrong With CS Cath Placement Your doc needs to do this to get…

Modifier Cheat Sheet: Banish Your E/M Modifier Phobias Forever

Once you have this tool, you’ll never again wonder which modifier applies to minor vs. major procedures.
If you’re often mixing up your E/M modifiers, then print this post and hang it near your desk. You’ll be sure to apply the appropriate modifier every time.
Pick Modifier 24 for Post-Op Cases
When you report modifier 24 (Unrelated evaluation […]

Modifier 57 Alone Should Preclude the Need for 25 Medicare carriers don’t require you to append both modifiers….
Medical Coder’s Modifier 25 Checklist Append 25 with the greatest of ease … Appending…
Decision Chart: Modifier 78, 58, or 79?Simplify your post operative service claims with this nifty tool….

IVR & Modifier 22: Obesity Isn’t Automatic Support

Modifier Cheat Sheet: Banish Your E/M Modifier Phobias Forever

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