Usage of Modifier – 79

Unrelated Procedure or Service by the Same Physician During the Postoperative Period: The physician may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. This circumstance may be...

Use of Modifer 78

The physician may need to indicate that another procedure was performed during the postoperative period of the initial procedure. When this subsequent procedure is related to the first, and requires the use of the operating room, it may be reported by adding the...

Use of Modifier 58

Staged or Related Procedure or Service by the Same Physician During the Postoperative Period: The physician may need to indicate that the performance of a procedure or service during the postoperative period was:a)planned prospectively at the time of the original...

Usage of Modifier 57

Decision for Surgery: An evaluation and management service that resulted in the initial decision to perform the surgery may be identified by adding the modifier ‘-57’ to the appropriate level of E/M service. Usage : •Use on an E&M service that is...

List of Useful Websites

Link to all 50 State Statutes http://www.familylaw.org/familylawcode.htm Link to all State Workers Compensation websites http://www.mbaonline.com/workers-compensation-agencies/ All State Insurance Commissioner Websites http://www.naic.org/state_web_map.htm All State...

Medical billing concept – Modifier 24

Modifier 24 (Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period:)The physician may need to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) unrelated to the...