Question

When more than one modifier is submitted, the modifiers must be ranked by ___ then ___.

Answer 1

When more than one modifier is submitted, the modifiers must be ranked based on whether the modifier will have an impact on the service's cost.

When appropriate, but not for all code categories, the use of numerous modifiers with a single procedure code is authorized. While others are incompatible with other categories, some modifications are only compatible with one. Modifiers signal a change in how the service or technique is described. Provider processes and services should be made clear. The description and CPT code are both left alone. CPT codes are modified with two-character alphanumeric suffixes for reporting outpatient services. 56 Modifier only for preoperative management By adding modifier 56 to the standard procedure number, the preoperative component can be identified when 1 (one) doctor or other qualified healthcare practitioner performed the preoperative treatment and evaluation while another performed the surgical operation.

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Answer 2

The modifiers must be ranked based on whether the modification will change how much the service will cost.

If there are multiple modifiers, the "functional" modifier should be coded first and the "informational" modifier should be coded second.

The use of multiple modifiers with a single procedure code is permitted when suitable, but not for all code categories. Some modifications are compatible with only one category, while others are incompatible with others. Modifiers show that the description of the service or method has changed. Clarify the providers' processes and services. Both the CPT code and description are unaltered. When reporting outpatient services, two-character alphanumeric modifiers are applied to CPT codes. 56 Modifier Preoperative Management Only: The preoperative component may be distinguished when 1 (one) physician or other qualified healthcare provider performed the preoperative treatment and evaluation and another performed the surgical operation by appending modifier 56 to the standard procedure number.

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