Coding Modifiers Table - tagolden.com

Coding Modifiers Table Updated 07/12 The following chart has been developed to assist providers in understanding how the Kansas Medical Assistance Program (KMAP) handles specific Modifiers . It is imperative providers understand the importance of using these Modifiers correctly. Improper Coding could result in a delayed, denied or incorrect payment for the service(s) submitted. Under the Invalid Combination heading on the chart, Modifiers are identified which cannot be billed in combination with the modifier in the first column. For example, a surgeon cannot bill a code with both the 62 (co-surgeon) and the 80 (assistant surgeon) Modifiers on the same detail line. The surgeon can only act as a co-surgeon (62) or an assistant surgeon (80) for a specific surgery. Only one modifier, 62 or 80, can be submitted.

For further billing/coding instructions, refer to the KAN Be Healthy Provider Manual. 47 This modifier should be appended only to the surgical procedure code when applicable. It is not appropriate to use this modifier on anesthesia procedure codes. The anesthesiologist would not use this modifier.

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  Coding, Anesthesia

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