Clinical, Financial and Administrative Insights For Physicians

Use Proper CPT Modifiers to Reduce Claim Denials

Posted by Suzanne Prasad

CPT Modifiers

CPT modifiers let payers know something specific about a procedure, sometimes resulting in additional payment for the provider. Among other things, modifiers signal that additional work was required, that procedures were performed by multiple providers, procedures were performed more than once, or unusual events occurred during service. Successful use of these modifiers requires consistency and the support of documentation within the medical record.

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