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See If Your Modifier Use Needs a Makeover Based on Latest AHA HCPCS Coding Clinic®

Want an example of when to use modifier 59? What about getting guidance on the difference between modifiers 52 and 74 for outpatient facilities? AHA Coding Clinic® for HCPCS, Vol. 18, No. 2, covers these topics and more.

To access the articles and For Your Information advice from this issue, you can search the keywords and codes below on TCI SuperCoder’s Coding Clinic Connector:

  • Category III, new codes: 0505T-0508T, Q5101
  • HCPCS codes, new: C9030-C9032, C9462-C9469, J0606, Q2040, Q2041, Q5101-Q5106, Q9991-Q9993, Q9995
  • Modifier 52 versus 74: 52, 74
  • Modifier 59: 25, 59, XE, XP, XS, XU
  • Modifier FY, X-ray: FY
  • Modifiers, biosimilar: Q5103, Q5104, ZA, ZB, ZC
  • Multianalyte assays, new codes: 0011M-0013M
  • Proprietary laboratory analyses, new codes: 0004U, 0015U, 0024U-0061U
  • Repair, nasal stenosis, new code: C9749, 73, 74.

For quick answers to specific questions, the Ask the Editor section has plenty to offer. These topics from the latest issue are searchable on TCI SuperCoder’s Coding Clinic Connector:

  • Cologuard: G0105, G0121, Z12.11
  • Mastectomy with BioZorb: 19301, 19340, 19499, 38525, 38900, A4648, C9728
  • Nipple delay, bilateral: 15600, 50, 59
  • Partial laparoscopic cecectomy: 44204
  • Repositioning abscess drain, coccygeal: 20999, 49424
  • Rotator cuff repair, motor vehicle accident: 29827, C1713, 20610, 23410
  • Wound reinforcement, Stravix: 11043, 15275, 15276, 17999, Q4100.