Medscape

The World of Modifiers

Modifiers describe special circumstances without changing the definition or meaning of the code used to report services. Modifiers are added to CPT or HCPCS codes. Modifiers are like playing Monopoly.
JD Supra

Use of Modifier 25 - 2017 Medicare Physician Fee Schedule Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) have reviewed the use of Modifier 25 to unbundle payments for evaluation and management (E/M) services when ...
JD Supra

340B Update for Hospitals: CMS Publishes FAQs Clarifying Use of Modifiers in Connection with 340B Program Reimbursement Cut on Part B Drugs

On December 13, 2017, the Centers for Medicare & Medicaid Services (“CMS”) published subregulatory guidance to answer questions about billing for drugs acquired through the 340B Drug Pricing Program ( ...
Becker's ASC

CMS Adds 13 New Modifiers, Extends Use of -FB

CMS has added 13 new modifiers and extended the one of one, as indicated in the January 2011 Integrated Outpatient Code Editor. Most of the new modifiers went into effect Jan. 1, but one new modifier ...
Becker's ASC

OIG to Continue Review of Personal-Performance Modifier Use in Anesthesiology Cases

The Office of the Inspector General in the Department of Health and Human Services has released its Work Plan for 2014, and while there are no new anesthesia issues that the OIG will look into, the ...