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Distinct Procedures
This is about learning how to separate surgical procedures from one another using modifier.
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distinct procedure
Modifier 51
Modifier 59
separate procedure
Repeat Procedures
This is about procedures being repeated and how to properly charge them to avoid denials.
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different provider
modifier 76
modifier 77
repeat procedure
same day
same provider
Professional and Technical Component
This is about the professional and technical components of some procedures.
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equipment
modifier 26
modifier TC
professional component
reading
technical component
Global Period and Evaluation & Management
This is about office visits and the global period of surgical procedures.
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0-day
10-day
90-day
E & M
evaluation and management
global period
modifier 24
modifier 25
office visit
Anatomical Modifiers
This is about anatomical modifiers.
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50
anatomical modifiers
both left and right
left
LT
modifier
modifiers
parts
right
RT
NON-COVERED CHARGES
This document is about denials when the insurance does not cover the procedures.
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130
204
denial
N130
non covered
non covered charges
non-covered
non-covered charges
PR204
procedure not covered
LAPSE IN COVERAGE and COVERAGE TERMINATED
This document is about the denials: lapse in coverage and coverage terminated.
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CO27
coverage termed
coveraged terminated
denial
lapse in coverage
PR200
PR27
FORWARDED TO ANOTHER PAYER
This is a document about B11 denial.
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another insurance
B11
denial
different payer
forwarded to another payer
medical group
misrouted claim
N419
MEDICAL GROUP DENIAL
This denial happens when a claim has been denied because the patient is under a medical group.
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capitation
CO24
denial
managed care
medical group
Medical Group Denial
medicare advantage
CHAMPVA
This document is about CHAMPVA.
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CHAMPVA
Government Insurance
VA
Veteran Administration
Veterans
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