Use HCPCS modifiers to indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code.

6 days ago · Use this tool to assist in determining potential modifiers that may be used in billing DMEPOS HCPCS codes.

This tool provides quick access to detailed descriptions of different modifiers that are appropriate to use with a code including which entities are allowed to bill the modifier.

Enter the four required fields and be presented with modifier details such as description, indicators, effective dates, payer information, and more. Note: Existence of a valid …

Feb 10, 2024 · Knowing when to use modifier codes can improve claim accuracy and prevent costly payment delays or denials. We explain what modifier codes are, why they are used, the …

This modifier is applied when procedures that are normally bundled together are performed as separate services. For example, a physician may conduct separate procedures on different …

Modifier KX The KX modifier indicates that a specific discipline's therapy services exceed the annual threshold amount set by Medicare Part B (and some Medicare Advantage plans) but …

HCPCS modifiers allow for greater accuracy in coding and can be extremely important in the reimbursement process. Find out more about HCPCS modifiers—what they look like and how …

Jun 19, 2025 · If a claim is presented without the proper modifier, payers could see the service as incomplete, repeated, or not suited to the patient’s condition. By including the right two …

Mar 14, 2025 · In this guide, we review the CPT Modifier Guidelines with examples such as Modifier 25 and Modifier 59. You will also learn best practices to avoid coding errors, stay …