by Karen Weintraub | Jan 9, 2023 | Blog
This article delves into modifier 63, a key piece for dealing with the smallest patients, infants weighing less than 4 kg. Modifier 63 addresses the additional time, complexities, and challenges of treating infants under 4kg or about 8.8 pounds. To put this in...
by Karen Weintraub | Oct 1, 2022 | Blog
Prior to the 2023 Current Procedural Terminology (CPT) code set, there were several codes specifically used for hospital observation services[1]: CPT 99217 (Observation discharge) 99218-99220 (initial observation care) 99224-99226 (subsequent observation care) All of...
by Karen Weintraub | Mar 1, 2022 | Blog
What happens when a service performed on a patient is split or shared among more than one provider? I’d like to introduce you to a new modifier – modifier FS. According to AAPC Coder, modifier FS indicates that “the service was a split or shared evaluation and...
by Karen Weintraub | Sep 29, 2021 | Blog
Healthcare Common Procedure Coding System (HCPCS) codes that start with the letter T are typically used by Medicaid agencies, Managed Care Organizations (MCO) who administer Medicaid programs. HCPCS code T1013 is described as”… Sign language or oral interpretive...
by Karen Weintraub | Aug 31, 2021 | Blog
If you have billed, paid or audited laboratory services there is a good chance you have encountered PLA codes, those alpha-numeric procedure codes ending in “U”. According to the American Medical Association (AMA), “Proprietary Laboratory Analyses (PLA) Codes are an...
