Medical Billing Forum

Billing => Billing => : Jackson William March 14, 2014, 03:35:06 AM

: Need Modifier full Explanation
: Jackson William March 14, 2014, 03:35:06 AM

I need what is modifier why we are using modifier? Please help me on this.

: Re: Need Modifier full Explanation
: PMRNC March 14, 2014, 10:52:18 AM

Modifiers are billed with the cpt to communicate special or specific circumstances related to the performance of a procedure or service.

: Re: Need Modifier full Explanation
: shanbull March 14, 2014, 12:34:09 PM

Here are some helpful overviews and examples of commonly used modifiers:
http://www.ngsmedicare.com/ngs/portal/ngsmedicare/medicare%20part%20b%20101%20manual_modifiers/!ut/p/a1/tVPZbqMwFP0V-pDHjp0EsjzSlqCkzd40IaNR5YAhTsFQ26TL148NpGXSZpGqQUj4cs-5y7nXYAkWYEnRlgRIkJiiUNnLxiPsTa_NjqFDuw5rsGvOZtbDsAbtB10CnDIA9ttQAhrTjm3Duj6u_svfc49O8IcD44f82lH-7Qf_wGPCH-VXgBP552AJlhxtsRvHTwQryw0xYp_mxLK7w0HmoCIRa-DQgEfYIy5ikkUFpqICS_8qMElXoTyqGfIKjBBNUagOBUBLEBPaSqvCqpY7H6PYIz7BjKs8CQqwhzkJaGa5xAMOrlebPm5BvVlrrRqojTzDX3lGC9fbbXk0FPJueAWckYp9dUKXW_3UXmW6nNisY4BsdY4DajvA4eE7sovm4TINMFUx5tf9x_HMmkh0aZLSKk9SmsUk5ams1PkS9864jGTz_Lw05a6oxXgVYPFfl0UmrLH-dT9QSyPWl4T6MVicRZ3vSdu-68DuuK_bVqtdhZa8eBDMkavKylWW1fskSBmWUgmWZneDK33X4xSzt18-CbF4S6TSULmkKTB7QKFEOqNSj9_wPoGWl-YwDVFPu2eIUEKDfQqPU-Zi_hv-KZJ9jXeDhAyn7zsj9DrBPA0FB041p67jlwF-4dMMBRxfqv-lNy6kkjlxx_Owj6R5kvoMnJ3oWki4yPaNkZjlLNPbIuoqTT_YhehO3kgRvKj0G3g5mSAR9hmKdq3nIe6zqdw7I2sXpp-4R4sOCcVD_yrl8st5-ap8VbqInEQz9TxN7NYGrwx_2t0YSWDevPvRvCUu573twDj0BubFxV8hKTpN/dl5/d5/L3dHQSEvUUtRZy9nQSEh/?clearcookie=&savecookie=&REGION=&LOB=Part%20B (http://www.ngsmedicare.com/ngs/portal/ngsmedicare/medicare%20part%20b%20101%20manual_modifiers/!ut/p/a1/tVPZbqMwFP0V-pDHjp0EsjzSlqCkzd40IaNR5YAhTsFQ26TL148NpGXSZpGqQUj4cs-5y7nXYAkWYEnRlgRIkJiiUNnLxiPsTa_NjqFDuw5rsGvOZtbDsAbtB10CnDIA9ttQAhrTjm3Duj6u_svfc49O8IcD44f82lH-7Qf_wGPCH-VXgBP552AJlhxtsRvHTwQryw0xYp_mxLK7w0HmoCIRa-DQgEfYIy5ikkUFpqICS_8qMElXoTyqGfIKjBBNUagOBUBLEBPaSqvCqpY7H6PYIz7BjKs8CQqwhzkJaGa5xAMOrlebPm5BvVlrrRqojTzDX3lGC9fbbXk0FPJueAWckYp9dUKXW_3UXmW6nNisY4BsdY4DajvA4eE7sovm4TINMFUx5tf9x_HMmkh0aZLSKk9SmsUk5ams1PkS9864jGTz_Lw05a6oxXgVYPFfl0UmrLH-dT9QSyPWl4T6MVicRZ3vSdu-68DuuK_bVqtdhZa8eBDMkavKylWW1fskSBmWUgmWZneDK33X4xSzt18-CbF4S6TSULmkKTB7QKFEOqNSj9_wPoGWl-YwDVFPu2eIUEKDfQqPU-Zi_hv-KZJ9jXeDhAyn7zsj9DrBPA0FB041p67jlwF-4dMMBRxfqv-lNy6kkjlxx_Owj6R5kvoMnJ3oWki4yPaNkZjlLNPbIuoqTT_YhehO3kgRvKj0G3g5mSAR9hmKdq3nIe6zqdw7I2sXpp-4R4sOCcVD_yrl8st5-ap8VbqInEQz9TxN7NYGrwx_2t0YSWDevPvRvCUu573twDj0BubFxV8hKTpN/dl5/d5/L3dHQSEvUUtRZy9nQSEh/?clearcookie=&savecookie=&REGION=&LOB=Part%20B)

http://www.poweryourpractice.com/revenue-cycle-management/modifier-59-25-91-guide-coders/ (http://www.poweryourpractice.com/revenue-cycle-management/modifier-59-25-91-guide-coders/)

This second one is great for explaining the difference between the two arguably most commonly confused modifiers, 25 and 59.


 :o That NGS Medicare link is huge!

: Re: Need Modifier full Explanation
: Michele March 17, 2014, 07:43:38 PM

I would hate to have to type that in manually.  :)