Author Topic: modifier  (Read 1651 times)


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« on: February 11, 2009, 09:26:12 AM »
How would you know when to use a modifier?
what is the clue?
Margie Finlay CMRS


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Re: modifier
« Reply #1 on: February 11, 2009, 06:07:36 PM »
There really are no 'clues'.  You need to understand modifiers and then you know when to use them.  For example, if you have a patient that had a surgical procedure such as a mole removal, but also was seen by the dr the same day for diabetes and high blood pressure, you would need to use a 25 modifier on the E&M code.

Most people learn from denials, and trial by error.

Hope that helps

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Re: modifier
« Reply #2 on: February 12, 2009, 07:01:00 PM »
the CPT4 coding books list the modifiers along with the explanation as to how to use them with your procedure codes.