Healthcare
2008 Modifier Changes
Modifier Changes Effective 1/1/08
Modifier 22
Modifier 59 (Distinct Procedural Service)
Modifier 78 (Return to OR)
Modifier 92 – New Modifier
Healthcare News
Healthcare Services
Our Healthcare experts specialize in strategic planning, organizational development, physician compliance programs, HIPAA updates, facilities management, auditing services, and tax services.
Amper is one of the largest independent CPA,
accounting,
tax preparation, and
auditing firms in the New Jersey, Pennsylvania and New York region.
Presented by
Amper’s Healthcare Services Group
Modifier Changes Effective 1/1/08
- Modifier 22
- Will state for "increased procedural services"
- Replacing "unusual procedural services"
- When work required is substantially greater than usually required
- Also states documentation must show that additional work was done & explain why the extra work was needed
- Modifier 59 (Distinct Procedural Service)
- Description changed to remove any reference to "physician," replacing it with individual
- Non-physician providers (NPP’s)
- Also states that documentation must support the use of this modifier
- Modifier 78 (Return to OR)
- More detailed description
- "Unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period"
- Modifier 92 – New Modifier
- Alternative Laboratory Platform Testing
- Should be used when a lab service (such as HIV test codes 86701-86703) is done with a kit containing a single use, disposable chamber
|