Modifiers
The modifier that is reported for split/shared visits when documentation supports visit with both mid-level and attesting supervisor
What is the FS Modifier?
The CPT code for this procedure that is sometimes referred to as the transsacral interbody fusion or axial lumbar interbody fusion.
What is 22586?
Physical Status modifier for a patient with a severe systemic disease
What is P3?
Other complications of anesthesia, initial encounter
T88.59XA
The modifier that is reported when a locum provider is filling in for a practice employed provider, claim to be billed under the practice employed provider
What is Modifier Q6?
Only when the pre-operative diagnosis is a spondylolisthesis and the procedure involved remove of abnormal facets and/or the pars interarticularis (Gill procedure)
When is it appropriate to use code 63012?
The qualifying circumstance code for extreme age
What is 99100?
Spinal stenosis, lumbar region with neurogenic claudication
What is M48.062?
One of our Teammates who had not seen snow until she was 35 years old
Who is Vilma?
The modifier that is used for discontinued procedures due to extenuating circumstances or those that threaten the wellbeing of the patient
What is modifier 53?
Two codes are required for implantation of this spinal device...bonus points for code range
What are spinal drug infusion devices and spinal cord stimulators?...62350 - 62362 &/or 61880 - 61888
Patient is sedated using IV and monitored, does not require anesthesiologist. Is billed once, not based on time.
What is conscious sedation?
Encounter for observation for suspected exposure to anthrax ruled out
What is Z03.810?
One of our Teammates who played softball from the ages of 4 - 18 and had a horrible fear of cats until adulthood
Who is Christina?
The modifier that is reported for Monitored Anesthesia Care
What is Modifier QS?
This laminectomy code can be billed with lumbar fracture treatment at the same level with no NCCI issues
What is 63267?
The act of looking up the surgical CPT in order to "find" the ASA code
What is cross-walking?
Malignant neoplasm of cerebral meninges
This Teammate loves her city that has mountains (Mt Charleston), canyons (Red Rock), lakes (Lake Mead) and plenty of wildlife including 147 Bald Eagles nesting in one lake and 4 young coyotes that stopped traffic Wednesday night!
Who is Julieta?
The modifier that is reported when a hospice patient is provided service that is unrelated to the patient's terminal condition.
What is modifier GW?
The second-largest dural reflection, is a crescent-shaped dura fold that extends over the posterior cranial fossa, separating the occipital and temporal cerebral hemisphere from the cerebellum and infratentorial brainstem
What is the tentorium cerebelli or "line of tentorium?"
Examination and reporting of patient vitals, airway, lungs and heart
What are the elements required per CMS for the ASA Physical exam?
Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounter
What is T85.192A
One of our Teammates who used to go to bars, clubs and restaurants at the age of 14 with her aunt to sing
Who is Jessica?