The Current Procedural Terminology (CPT®) code set describes physicians' and other qualified healthcare professionals' medical services and procedures and certain services provided by organizations or facilities. CPT uses modifiers to communicate that a service or procedure has been altered by some specific circumstance. Modifiers are also needed to meet coding and payment requirements established by insurers and government entities. This course discusses the purpose and use of modifiers with CPT codes, and the rules for using them. A current copy of the Current Procedural Terminology (CPT®), Professional Edition, is strongly recommended to optimize your understanding of the content covered.
The Current Procedural Terminology (CPT®) code set describes physicians' and other qualified healthcare professionals' medical services and procedures and certain services provided by organizations or facilities. CPT uses modifiers to communicate that a service or procedure has been altered by some specific circumstance. Modifiers are also needed to meet coding and payment requirements established by insurers and government entities. This course discusses the purpose and use of modifiers with CPT codes, and the rules for using them. A current copy of the Current Procedural Terminology (CPT®), Professional Edition, is strongly recommended to optimize your understanding of the content covered.
“This program has been approved for 1.0000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”
This activity is approved for 1.0000 contact hours.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview of Modifiers
What Are Modifiers?
Categories of Modifiers
Types of Modifiers
Use of Modifiers
NCCI-Associated Modifiers
Hospital Use of Modifiers
Professional and Technical Components
Modifier Examples: 26 and TC
Review
Section 3: Anatomical Modifiers
Anatomical Modifiers
Left, Right, and Bilateral Modifiers
Laterality Modifier Use
Review
Section 4: Anesthesia Modifiers
Anesthesia Modifiers
Anesthesia Specific Modifiers
Common Anesthesia CPT Modifiers
Review
Section 5: E/M Modifiers
E/M Modifiers
E/M and Surgical Modifiers
Procedures With E/M Codes
Review
Section 6: Surgical Modifiers
Surgical Modifiers
Hospital Outpatient Surgical Modifiers
Global Surgical Procedures
Co-Surgery and Surgical Teams
Surgical Procedure Modifiers
Review
Section 7: Conclusion
Course Summary
Course Contributors
Resources
References
Sarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified coder of physician/professional (CPC) and outpatient hospital services (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah has extensive experience in both professional and facility ICD-10-CM/PCS, CPT and HCPCS coding, auditing, and revenue cycle management and as an educator of hospital and professional medical coding curriculum. She has served as Director of Physician Billing and Reimbursement for a regional health system, Manager of Coding and Compliance for a hospital and cancer center, and Business Manager of Physician Practices at a teaching hospital, as well as a coding auditor and consultant. Sarah has also authored coding textbooks and instructional resources.
Disclosure: Sarah A. Serling, CCS, CPC, CRC, COC, CCS-P, CEMC, CPC-I, ICD-10-CM/PCS Trainer discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
Access to over 1,450 courses! Access to 1,450+ courses for one low price.