American Academy of Dermatology

OIG report supports dermatologists’ use of modifier 25, CMS requires no further action

In response to the report, CMS concluded that dermatologists are complying with modifier 25 coding rules and the agency will not impose any additional regulations in this area.
Becker's ASC

Coder’s Guide to ASC and Physician Practice Modifiers

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 ...
JD Supra

340B Update for Hospitals: CMS Publishes FAQs Clarifying Use of Modifiers in Connection with 340B Program Reimbursement Cut on Part B Drugs

On December 13, 2017, the Centers for Medicare & Medicaid Services (“CMS”) published subregulatory guidance to answer questions about billing for drugs acquired through the 340B Drug Pricing Program ( ...
Becker's ASC

CMS Adds 13 New Modifiers, Extends Use of -FB

CMS has added 13 new modifiers and extended the one of one, as indicated in the January 2011 Integrated Outpatient Code Editor. Most of the new modifiers went into effect Jan. 1, but one new modifier ...