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What Is Modifier?

Coding provides a common language throughout health care organizations and health care payers. The use of modifiers is an important part of coding and billing for health care services. Procedure codes may be modified under certain circumstances to more accurately represent the service or item rendered. For this purpose, modifiers are used to add information or change the description of service in order to improve accuracy or specificity. The documentation of the service provided must support the use of the modifier. There are two levels of modifiers, one for each level of Healthcare Common Procedure Coding System (HCPCS) codes.

Level I (CPT) Modifiers

Level I modifiers are two numeric digits. They are updated annually by the American Medical Association (AMA).

Level II (CMS) Modifiers

Level II modifiers are two digits (AA through VP). They are recognized nationally and are updated annually by CMS.

Maintenance

These codes are updated on an annual basis, normally through a batch process. However, Modifier in the Code Maintenance function of Rules Management in ND MMIS provides the capability to:

 

Instructions

How to Search for a Modifier

How to Add or Edit a Modifier

How to Delete a Detail Span from a Modifier

How to Void a Detail Span on a Modifier

 

Field Descriptions

Search Modifier Page

Modifier Page

 

See Also

About Modifier Batch Process

What Is Procedure?

About Code Maintenance 

About Rules Management

 

Version as of 5/16/14.

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