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Program Memorandum Intermediaries – CMS

www.cms.gov

SUBJECT: Use of Modifier –25 and Modifier -27 in the Hospital Outpatient … The
CPT defines modifier –27 as “multiple outpatient hospital evaluation and …

Bulletin Number: xxxxxx – CMS

www.cms.gov

Nov 1, 2012 … Common Procedural Terminology (CPT) modifier -25 identifies a significant, … A-
01-80, June 29, 2001, Use of Modifier -25 and Modifier -27.

Transmittal 3315 – CMS

www.cms.gov

Aug 6, 2015 … POS code set maintained by the Centers for Medicare and Medicaid Services (
CMS). ….. recognize modifier -52 for this purpose. …… Page 27 …

R1775OTN – CMS

www.cms.gov

Date: January 27, 2017. Change Request 9933 … the codes for evaluative
services are submitted, the therapy modifier (GP, GO or GN) that reports the type
of.

R2845CP – CMS

www.cms.gov

Dec 27, 2013 … Ambulatory Payment Classification (APC), HCPCS Modifier, and Revenue Code
additions, … Date: December 27, 2013 Change Request: 8572.

Modifier 59 Article – CMS

www.cms.gov

modifiers – i.e., 24, 25, 27, 57, 58, 78, 79, or 91. (See example 7) As noted in the
CPT definition, modifier 59 should only be used if no other modifier more …

CMS Manual System

www.cms.gov

Apr 27, 2009 … NOTE: Transmittal 1706, dated March 27, 2009, is being rescinded and ….. billed
with a therapy modifier includes the following HCPCS codes: …

Medicare Claims Processing Manual – CMS

www.cms.gov

Jan 3, 2017 … 20.9.1 – Correct Coding Modifier Indicators and HCPCS Codes Modifiers. 20.9.
1.1 ….. Implementation: 10-27-08/12-12-08 HCPCS code A4559).

Medicare Claims Processing Manual – CMS

www.cms.gov

10.3.3 – Use of the KX Modifier for Therapy Cap Exceptions. 10.3.4 – Therapy …..
Attachment E of PM A-02-090, dated September 27, 2002. This is located in …

Transmittal 2234 – CMS

www.cms.gov

Jul 1, 2011 … 100-04 Transmittal: 2234 Date: May 27, 2011 … (HCPCS), Ambulatory Payment
Classification (APC), HCPCS Modifier, and Revenue Code …

Final Rule – US Government Publishing Office

www.gpo.gov

Nov 13, 2014 … the Center for Medicare and Medicaid Innovation Models & Other. Revisions to
Part B for …. N. Value-Based Payment Modifier and. Physician …

table of contents – SCDHHS.gov

www.scdhhs.gov

Dec 1, 2016 … Professional Medicaid claims must be filed on the CMS-. 1500 claim form (02/12
version). Alternate forms are not acceptable. “Super Bills” and …

Chapter 5: Billing on the CMS 1500 Claim Form – ahcccs

www.azahcccs.gov

Oct 15, 2015 … The CMS 1500 claim form is used to bill for most non-facility services, …. For
some claims billed with CPT/HCPCS codes, procedure modifiers must be ….
Required. Enter the total for all charges for all lines on the claim. 27.

1 Clinic Frequently Asked Questions Updated February 27, 2012 …

www.omh.ny.gov

Feb 27, 2012 … as an individual or group session; using the “HQ” modifier to indicate a group …..
If your clinic has Medicare/Medicaid dually-eligible clients and.

Billing Guide – Washington State Health Care Authority

www.hca.wa.gov

Jul 1, 2016 … expedited prior authorization code 870001344. Program update. Services
requiring prior authorization. Removed HCPCS codes S1090 and …

Billing Procedures – Medicaid Provider Information

medicaidprovider.mt.gov

eligible for Medicare at the time the Medicare claim was filed. • Claims …. •
Revenue Codes 27X do not require CPT or HCPCS codes; however, providers
are advised to …. Medicaid accepts most of the same modifiers as Medicare, but
not all.

Professional Services Billing Manual – South Dakota Department of …

dss.sd.gov

Medicare. 1-800-633-4227. Division of Medical Services. Department of Social
Services. Division of Medical Services. 700 Governors Drive. Pierre, SD 57501- …

New Modifiers for National Correct Coding Initiative – Mass.Gov

www.mass.gov

May 30, 2013 … modifiers for the National Correct Coding Initiative (NCCI) as well as other …
MassHealth providers must refer to the official list of HCPCS codes and …… 27.
Multiple outpatient hospital E/M encounters on the same date. 58.

MARYLAND MEDICAID CMS-1500 PAPER BILLING INSTRUCTIONS

mmcp.dhmh.maryland.gov

27. VII. MARYLAND MEDICAID PROGRAM SERVICES INFORMATION. A. …
Medicaid providers who bill using the CMS-1500 form. ….. modifier, if required.

MO HealthNet Professional Billing Book – Missouri Department of …

dss.mo.gov

Jun 21, 2013 … publication of the CPT) of the American Medical Association. All Rights ….. 27.
Assignment. Not required on MO HealthNet claims. 28.




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