Medical Billing Forum

Billing => Billing => : mpisaniello March 13, 2013, 10:52:52 PM

: PREVENTATIVE SERVICES Modifier 33 Usage
: mpisaniello March 13, 2013, 10:52:52 PM

Can anyone give me the details of Modifier 33 and when it is to be used.  ALL preventative service CPT's? All Preventative Service CPT's not included in a well check? What about well checks?  Is this for Medicare and private carriers?  IS there a list of Code that require it?  Any references on this issue would be great.

: Re: PREVENTATIVE SERVICES Modifier 33 Usage
: PMRNC March 14, 2013, 04:20:32 PM

This is one of our articles for our next newsletter

Modifier 33 is for preventative services used when the primary purpose of the service is the delivery of an evidence based service in accordance with the US Preventative Services Task Force A or B rating in effect and other preventive services identified in preventive services mandates (legislative or regulatory) The service may be identified by adding 33 to the procedure.   For Separately reported services specifically identified as preventive, the modifier should not be used.
Modifier 33 is also used to identify those covered preventive services with no cost-sharing to the patient.