Categories of CPT Modifiers CPT modifiers can be grouped into two large categories: those that can be used with an E/M service and those that can’t. The most widely used CPTs in an office setting are the E/M Codes 99201-99215; however, very few modifiers can be associated with these ...
Modifiers augment CPT codes to more accurately describe the circumstances of services provided. Neither the professional component modifier 26 nor the pathology consultation CPT codes 80500 and 80502 are reimbursable under this circumstance. When contrast material is parenterally administered, whether the ti...
Current Procedural Terminology (CPT®), Fourth Edition (CPT-4), is a listing of descriptive terms and identifying codes for reporting medical services and procedures. The purpose of CPT is to provide a uniform language that accurately describes medical, surgical, and diagnostic services, and there...
CPT codes having certain modifiers that impact pricing are eliminated (PRO3). These records are eliminated because they may impact pricing. While many modifiers are informational (for example, a CPT code may describe a service associated with a broken arm, and the modifiers might further define ...