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BSurgical ModifiersPage updated: March 2023Surgical Modifiers Introduction Purpose The purpose of this module is to provide participants with an understanding of the policies and procedures of surgical
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What is modifiers pertaining to surgery?
Modifiers are two-digit codes used in medical billing that provide additional information about the surgical procedure performed. They help clarify circumstances that may affect the reimbursement process.
Who is required to file modifiers pertaining to surgery?
Healthcare providers, including surgeons and billing specialists, are required to file modifiers when submitting claims for surgical procedures to ensure proper reimbursement.
How to fill out modifiers pertaining to surgery?
Modifiers are typically appended to the surgical procedure codes on the claim form. Providers should reference the appropriate modifiers from the coding guidelines and ensure they are properly documented in the claim submission.
What is the purpose of modifiers pertaining to surgery?
The purpose of modifiers is to provide additional context for the procedure, indicate if multiple procedures were performed, denote bilateral surgeries, or highlight unique circumstances that could impact reimbursement.
What information must be reported on modifiers pertaining to surgery?
Modifiers should include information such as whether the service was bilateral, whether multiple procedures were performed, or if an unusual circumstance applied, in accordance with coding regulations.
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