Tag: medical billing modifiers

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 […]
Learn More
How to Use Modifiers 59 and X[ESPU] to Maximize Reimbursement

How to Use Modifiers 59 and X[ESPU] to Maximize Reimbursement

When you bill for distinct, separate procedures, it’s crucial to know which modifiers will ensure full payment for each service. Modifier 59, “Distinct Procedural Service,” acts as a universal tool to unbundle procedures that are typically included in a larger procedure or “bundled” together. This modifier signals to the payer that specific circumstances justify separate […]
Learn More
x