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Preferred
Durable Medical Equipment (DME)
Supplier Manual
Fall 2016An Independent Licensee of the Blue Cross and Blue Shield AssociationTable of Contents
Preface
Important Addresses
Existing Rental
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How to fill out procedure code modifiers
How to fill out procedure code modifiers
01
To fill out procedure code modifiers, follow these steps:
02
Identify the procedure code that requires a modifier.
03
Determine the specific modifier that needs to be added.
04
Understand the rules and guidelines for using modifiers, as they vary depending on the payer.
05
Append the modifier to the appropriate place in the procedure code.
06
Ensure that the modifier is accurately represented and recorded in the respective billing or coding system.
07
Double-check the accuracy and validity of the modifier before submitting the claim or billing.
08
Keep track of any changes or updates in modifier requirements to stay compliant with the latest guidelines.
Who needs procedure code modifiers?
01
Various healthcare professionals and entities may need procedure code modifiers, including:
02
- Physicians and surgeons
03
- Hospitals and healthcare facilities
04
- Medical coders and billers
05
- Insurance companies and payers
06
- Medicare and Medicaid programs
07
- Any healthcare provider or organization involved in medical billing and coding processes.
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