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Answers to Compliance and Medical Coding Questions.
  1. Maybritt Posted 1 month(s) agoRelated Topics

    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?

  2. SuperCoder Posted 1 month(s) ago

    HELLO

    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.

    HOPE THIS HELPS!

     

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  • Posted by 33254 Maybritt, 1 month(s) ago. There are 2 posts. The latest reply is from SuperCoder.