EllenC_65537
New member
Hi, I'm a newly minted CPC , and I'm working on a claim for preventive labwork, CPT codes 81003-33, 36416-59 and 85025. Claim was rejected. Can I attach a 59-33 on 81003?
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Resolved Modifiers on labwork
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Lori
Well-known member
81003 modifiers that can be used are -22, 52, 59, 90, 91, 99.
CCO free modifier tool:
https://www.cco.us/cpt-modifier-decision-grid-tool/
www.cco.us
The procedure is sequenced first that won't get a modifier.
Modifier 33: preventive service. Modifier 33 is applied to indicate that the preventive service is one that waives a patient's co-pay, deductible, and co-insurance. An exception is that modifier 33 does not have to be appended to those services that are inherently preventive (for instance, screening mammography).
www.medicaleconomics.com
CCO free modifier tool:
https://www.cco.us/cpt-modifier-decision-grid-tool/
What Are Path and Lab Panels in Medical Coding?
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www.cco.us
The procedure is sequenced first that won't get a modifier.
Modifier 33: preventive service. Modifier 33 is applied to indicate that the preventive service is one that waives a patient's co-pay, deductible, and co-insurance. An exception is that modifier 33 does not have to be appended to those services that are inherently preventive (for instance, screening mammography).
When to use modifier 33 for preventive care
Modifier 33 has created much confusion in the coding and billing world. Learn why.
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