What is a 33 modifier used for?
Modifier 33: preventive service.
Modifier 33 is applied to indicate that the preventive service is one that waives a patient’s co-pay, deductible, and co-insurance.
An exception is that modifier 33 does not have to be appended to those services that are inherently preventive (for instance, screening mammography)..
What is the 26 modifier?
The CPT modifier 26 is used to indicate the professional component of the service being billed was “interpretation only,” and it is most commonly submitted with diagnostic tests, including radiological procedures. When using the 26 modifier, you must enter it in the first modifier field on your claim.
What is a 25 modifier?
Modifier 25 (significant, separately identifiable evaluation and management [E/M] service by the same physician on the same day of the procedure or other service) is the most important modifier for pediatricians in Current Procedural Terminology (CPT®). … The use of modifier 25 has specific requirements.
What is a 56 modifier?
Modifier 56 indicates that a physician or qualified health care professional other than the surgeon performed the preoperative care and evaluation prior to surgery.
What is a GX modifier?
Modifier GX The GX modifier is used to report that a voluntary Advance Beneficiary Notice of Noncoverage (ABN) has been issued to the beneficiary before/upon receipt of their item because the item was statutorily noncovered or does not meet the definition of a Medicare benefit.
What is the purpose of a modifier?
This definition is the same when considering the purpose of modifiers within a sentence. A modifier changes, clarifies, qualifies, or limits a particular word in a sentence in order to add emphasis, explanation, or detail. Modifiers tend to be descriptive words, such as adjectives and adverbs.
What is the modifier for mandated services?
Modifier 32 – Mandated Services.
What is the 59 modifier?
Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances.
What is a 51 modifier?
Modifier 51 Multiple Procedures indicates that multiple procedures were performed at the. same session. It applies to: • Different procedures performed at the same session. • A single procedure performed multiple times at different sites.
What is 80 modifier used for?
Instructions. Modifier 80 is appended to the surgical code when another surgeon is assisting at surgery.
What is a Hcpcs modifier?
2.12: HCPCS Modifiers. … The HCPCS modifier –LT, for example, is regularly used in CPT codes when you need to describe a bilateral procedure that was only performed on one side of the body. HCPCS modifiers, like CPT modifiers, are always two characters, and are added to the end of a HCPCS or CPT code with a hyphen.