Documentation tip: An AMA CPT directive states to report -53 modifier, which is for a discontinued procedure (physician modifier). ASCs should report according to MCR ASC Processing Manual and/or ...

When RAC contractors start complex reviews of Medicare Part B claims, they will likely hit practices in a weak spot, physicians’ use of CPT modifier -25, according to a report by the RAC Monitor.

The new outpatient CPT modifier 33 is the “most noteworthy” change in CMS’ Outpatient Code Editor Version 12.1, effective April 4, according to an AAPC report. Modifier 33 Preventive services is ...