Since the mastectomy is a staged/planned and therapeutic procedure performed after a diagnostic service, modifier -58 is appropriate. A version of this article was first published September 25, 2020, ...

To quite a degree, this modifier is a commercial payor’s replacement to Medicare’s -PT modifier with the difference being -PT is only applicable when a planned screening colonoscopy turned out to be a ...

Modifiers (usually 2-digits) are added to the main procedure code to signify that the procedure has been altered by a distinct factor. Modifiers are accepted by most payors. Modifiers can increase or ...

Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...

On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...