The definition of each modifier can be found within the document linked in the type of modifier column in the chart below. For modifiers that can be used for more than one topic, please refer to the Additional …

Modifiers XE, XP, XS, and XU are valid modifiers. These modifiers give greater reporting specificity in situations where you used modifier 59 previously. Use these modifiers instead of modifier 59 …

Feb 3, 2025 · Modifiers can be two digit numbers, two character modifiers, or alpha-numeric indicators. Modifiers provide additional information to payers to make sure your provider gets paid correctly for …

Sep 11, 2025 · CHICAGO — The American Medical Association (AMA) today announced the release of the Current Procedural Terminology (CPT ®) 2026 code set adding 288 new codes designating the …

The amount Medicare pays per RVU gets its first substantial boost in years, but most of the increase will expire at the end of 2026 unless Congress acts.

Jan 5, 2026 · This distinction is critical for billing compliance, particularly with respect to discarded product and modifier usage. For dates of service beginning January 1, 2026, CMS clarified how the …

This Modifier Finder tool has been designed to aid Medicare providers in using modifiers correctly. You may search this database by modifier or keyword.

Aug 19, 2022 · What Are Medical Coding Modifiers? A medical coding modifier is two characters (letters or numbers) appended to a CPT ® or HCPCS Level II code. The modifier provides additional …

Jan 29, 2025 · CMS developed the NCCI program to promote national correct coding of Medicare Part B claims. CMS owns the NCCI program and is responsible for all decisions regarding its contents. …

Jan 12, 2024 · There are different types of modifiers listed in medical billing and they are specified as per their uses like Anesthesia modifier, bilateral modifier, surgery modifier, etc. Description is …