Tag: CPT code modifiers

Medical Coding Modifiers

Decoding Complex Modifiers: Advanced Tips for Coders in 2025

In the world of medical coding, modifiers are like the punctuation marks of clinical documentation—they clarify intent, add nuance, and ensure that payers fully understand the story behind the service provided. When applied correctly, modifiers safeguard compliance, prevent denials, and guarantee appropriate reimbursement. When applied incorrectly, they can spark audits, lead to revenue loss, or […]
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Modifier 78 vs. Modifier 79

Modifier 78 vs. Modifier 79: A Comprehensive Guide to Surgical Procedure Modifiers

Healthcare billing can be complex, and using the correct modifiers is crucial for accurate claims and timely reimbursement. Surgical procedures often require specific modifiers to tell a complete story about the services provided. Two modifiers that frequently cause confusion are Modifier 78 and Modifier 79. While both are related to surgical procedures, they describe very […]
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Surgery global period modifiers

Surgical Global Period Modifiers: Modifier 54, 55, and 56 in Global Surgery Billing

Table of Contents The “Global” Concept Billing the Global Package Modifiers for Split Care Transfer of Care When Not to Use Modifiers 54 and 55 Modifiers: The Key to Accurate Medical Claims Processing To understand these modifiers, it’s essential to first examine the concept of the surgery global period modifiers. All medical procedures with a […]
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