Surgeons often use assistants in the operating room, but with three CPT modifiers (-80, -81 and -82) and a HCPCS modifiers (-AS) to describe assisted surgery, coding for such services can be confusing. By reviewing CPT, CMS and payer guidelines, you can minimize the confusion. Similar, but Not the Same Although modifiers -80 (Assistant surgeon), -81 (Minimum assistant surgeon) and -82 ...
Medical coding modifier provide more detailed information about medical and surgical procedures. Reduce the risk of lost revenue and improve audit compliance.
Modifier 52 Reduced services and Modifier 53 Discontinued procedure describe similar but distinct circumstances. To apply these CPT® modifiers appropriately, you’ll need to know why the provider stopped or otherwise “cut short” the procedure they were performing. Expected or Elected Service Calls for Modifier 52 If a provider plans or expects a reduction in the service, or electively ...
Use Modifier X Series for 59 Medicare was concerned that providers was submitting the 59 modifier too often, just adding it when they felt they did not like the fact that two codes were bundled, and used the 59 modifier to get the two codes unbundled and paid.
Modifier 57 applies when the provider determines the need for any major procedure during an E/M visit—whether the procedure is surgical or non-surgical.