Top Modifiers Utilized in GI Practices and How to Prevent Inappropriate Use

Recorded Webinar – 19 –
Approx. 1 Hour Recording

Top Modifiers Utilized in GI Practices:
Modifiers are highly utilized in the GI practice.

The top modifiers utilized will be discussed: their definitions, appropriate uses, and clinical examples:

• Modifier 59 – Does your endoscopy report support a separate site/lesion AND separate technique?
• Modifier 53 versus modifier 52 – which modifier to use when a procedure is terminated or reduced
• Modifier 74 versus 73 – how is the ASCs reimbursement affected by these modifiers?
• Modifier 25 – Does your EM visit support a significantly separate encounter on the same day as a procedure is performed?
• Modifier 33 versus modifier PT – Does the payer want modifier 33 or PT used for screening or surveillance colonoscopy?
• Modifier 26 versus TC – Discuss the difference between each and when to bill a global service.
• Modifier 78 – Can GI use this modifier? When would you bill the global service?

Presented by:
Kristin Vaughn, CPC, QMGC, QMC, CPMA, ICDCT-CM

There are no CEUs available for this recording.
Each recording is copyright AskMueller Consulting.