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Maybritt Posted Mon 08th of January, 2018 17:02:43 PM
When we have more than one modifier such as 52, LT and the FY, in which order should they be listed after the CPT code?
SuperCoder Answered Tue 09th of January, 2018 00:21:07 AM


When listing multiple modifiers for the same line item, take care to sequence those modifiers that affect payment first. Level I payment modifiers include:

26 Professional component
50 Bilateral procedure
53 Discontinued procedure
54 Surgical care only
55 Postoperative management only 
56 Preoperative management only 
62 Two surgeons 
66 Surgical team
78 Unplanned return to operating/procedure room by the same physician or other qualified healthcare professional following an initial procedure for a related procedure during postoperative period 
80 Assistant surgeon 
81 Minimum assistant surgeon 
82 Assistant surgeon (when qualified resident surgeon not available)
91 Repeat clinical diagnostic laboratory test

Informational or statistical modifiers (e.g., any modifier not classified as a payment modifier) are sequenced after payment modifiers, if multiple modifiers apply. If multiple informational/statistical modifiers apply, you may sequence them in any order (as long as they are sequenced after any payment modifiers).

Now, as per above scenario, modifiers 52 and LT seem to be informational modifiers and FY seems to be payment modifier, so FY should be sequenced first.



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