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5. Modifier 59 - Distinct Procedural Service: Indicates that a procedure or service was distinct or independent from other services performed on the same day. This is used to identify procedures that are not typically reported together but are appropriate under the circumstances.
CPT code 00104 is used to identify anesthesia services provided during electroshock therapy, ensuring standardized communication among healthcare providers.
Additionally, Medicare Administrative Contractors (MACs) play a crucial role in the reimbursement process. MACs are responsible for processing Medicare claims and can provide region-specific guidance on whether CPT code 15730 is reimbursed. They may also have Local Coverage Determinations (LCDs) that outline specific criteria for reimbursement.
CPT code 00406 is used for anesthesia services during breast surgery, ensuring accurate documentation and reimbursement for healthcare providers.
15. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist services for assistant at surgery: Used when these non-physician practitioners assist in surgery.
CPT code 00452 is used for anesthesia services during shoulder surgery, helping healthcare providers categorize and manage procedural data.
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CPT code 00541 is used for anesthesia services during procedures involving one lung ventilation, ensuring proper patient care during surgery.
CPT code 00172 is used for procedures involving anesthesia during cleft palate repair, ensuring accurate documentation and reimbursement.
CPT code 15730 is used to describe a medical procedure known as a "muscle, myocutaneous, or fasciocutaneous flap with preservation of vascular pedicle." This procedure involves the surgical movement of a flap of tissue, which includes muscle and skin, to a new location on the body while keeping the blood supply intact. This technique is often employed in reconstructive surgeries to repair defects or wounds, ensuring that the transferred tissue remains viable and healthy.
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4. Modifier 52 - Reduced Services: Used when a service or procedure is partially reduced or eliminated at the physician's discretion.
CPT code 00404 is used for anesthesia services during breast surgery, ensuring accurate documentation and reimbursement for healthcare providers.
The CPT code 15730, which refers to "Mdfc flap w/prsrv vasc pedcl," is subject to reimbursement by Medicare, but it depends on several factors. To determine if Medicare reimburses this specific CPT code, you need to consult the Medicare Physician Fee Schedule (MPFS). The MPFS provides detailed information on the payment rates for services covered under Medicare Part B.
CPT code 00731 is used for anesthesia services during upper gastrointestinal endoscopic procedures not otherwise specified.
CPT code 00532 is used for anesthesia services related to vascular access procedures, ensuring accurate documentation and reimbursement.
CPT code 00176 is used for anesthesia services during pharyngeal surgery, ensuring accurate service documentation and reimbursement.
CPT code 00350 is used for anesthesia services during neck vessel surgery, ensuring accurate documentation and reimbursement for healthcare providers.
CPT code 00147 is used to identify the anesthesia service provided during an iridectomy, a surgical procedure involving the eye's iris.
CPT code 00145 is used for anesthesia services provided during vitreoretinal surgery, ensuring accurate procedure documentation and reimbursement.
CPT code 00192 is used for anesthesia services during facial bone surgery, ensuring accurate documentation and reimbursement for healthcare providers.
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CPT code 00160 is used for anesthesia services during nose or sinus surgery, helping standardize procedures for healthcare providers.
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11. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Used when an unrelated procedure or service is performed by the same physician during the postoperative period.
CPT code 00730 is used for anesthesia services during abdominal wall surgery, ensuring accurate procedure documentation and reimbursement.
10. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Indicates an unplanned return to the operating room for a related procedure during the postoperative period.
CPT code 00218 is used for anesthesia services during specific head surgeries, ensuring accurate documentation and reimbursement for healthcare providers.
7. Modifier 66 - Surgical Team: Applied when a team of surgeons (more than two) is required to perform a specific procedure.
2. Modifier 50 - Bilateral Procedure: Applied when the procedure is performed on both sides of the body during the same operative session.
CPT code 00563 is used for anesthesia services during heart surgery with circulatory arrest, ensuring accurate procedure documentation.
CPT code 00190 is used for anesthesia services during surgeries involving the face or skull bones, ensuring accurate procedure documentation.
CPT code 00102 is used for anesthesia services during the surgical repair of a cleft lip, ensuring accurate procedure documentation.
CPT code 00620 is used to identify anesthesia services provided during spinal cord surgery, ensuring accurate service documentation and reimbursement.
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CPT code 00474 is used for anesthesia services during rib surgery, ensuring accurate documentation and reimbursement for healthcare providers.
6. Modifier 62 - Two Surgeons: Used when two surgeons work together as primary surgeons performing distinct parts of a single reportable procedure.
CPT code 00756 is used for anesthesia services during hernia repair procedures, ensuring accurate service documentation and reimbursement.
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CPT code 00144 is used for procedures involving anesthesia during a corneal transplant, helping streamline healthcare service documentation.
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20101127 — The OP is going from a 3ZZ to a 1ZZ so it's definitely a performance upgrade. In fact I believe the 3ZZ ECU will be able to run the 1ZZ just fine.
CPT code 00450 is used to identify anesthesia services provided during shoulder surgery, ensuring accurate documentation and reimbursement.
CPT code 00402 is used for anesthesia services during breast surgery, helping healthcare providers categorize and manage procedural data efficiently.
CPT code 00700 is used to identify anesthesia services for surgical procedures on the abdominal wall, aiding in streamlined healthcare operations.
CPT code 00216 is used for anesthesia services during head vessel surgery, ensuring accurate procedure identification and reimbursement.
9. Modifier 77 - Repeat Procedure by Another Physician: Used when a procedure or service is repeated by another physician or other qualified healthcare professional subsequent to the original procedure or service.
CPT code 00540 is used to identify anesthesia services provided during chest surgery, ensuring accurate documentation and reimbursement.
Therefore, to confirm if CPT code 15730 is reimbursed by Medicare, you should review the MPFS and consult with your regional MAC for any specific coverage guidelines or requirements.
CPT code 00140 is used for anesthesia services during procedures on the eye, ensuring accurate documentation and reimbursement for healthcare providers.
CPT code 00222 is used for anesthesia services during head nerve surgery, ensuring accurate documentation and reimbursement for healthcare providers.
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CPT code 00126 is used for procedures involving anesthesia during a tympanotomy, which is a surgical incision into the eardrum.
CPT code 00530 is used for anesthesia services during the insertion of a pacemaker, ensuring accurate documentation and reimbursement.
CPT code 00634 is used for anesthesia services provided during chemonucleolysis, a procedure to dissolve herniated disc material.
CPT code 00212 is used for procedures involving anesthesia during skull drainage, ensuring accurate documentation and reimbursement.
CPT code 00580 is used for anesthesia services during heart or lung transplant procedures, ensuring accurate documentation and reimbursement.
CPT code 00454 is used for anesthesia services during a collar bone biopsy procedure, ensuring accurate documentation and reimbursement.
CPT code 00550 is used for anesthesia services during sternal debridement procedures, ensuring accurate documentation and reimbursement.
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CPT code 00170 is used for anesthesia services during procedures on the mouth, ensuring accurate documentation and reimbursement for healthcare providers.
CPT code 00148 is used for anesthesia services during an eye exam, helping healthcare providers standardize and streamline service documentation.
CPT code 00220 is used to describe anesthesia services for intracranial nerve procedures, ensuring accurate documentation and reimbursement.
CPT code 00522 is used for procedures involving anesthesia during a biopsy of the chest lining, aiding in accurate medical documentation.
CPT code 00622 is used for anesthesia services during the removal of nerves, ensuring accurate procedure documentation and reimbursement.
CPT code 00124 is used for anesthesia services during an ear examination, ensuring accurate documentation and reimbursement for healthcare providers.
CPT code 00470 is used for anesthesia services during the surgical removal of a rib, ensuring accurate procedure documentation.
CPT code 00326 is used for anesthesia services provided to infants under 1 year old during procedures involving the larynx or trachea.
14. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Used when an assistant surgeon is required, and a qualified resident surgeon is not available.
CPT code 00537 is used for anesthesia services during cardiac electrophysiology procedures, ensuring accurate documentation and reimbursement.
CPT code 00566 is used for anesthesia services during coronary artery bypass grafting without the use of a heart-lung machine.
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CPT code 00214 is used for procedures involving anesthesia during skull drainage, helping standardize and streamline healthcare documentation.
CPT code 00162 is used for anesthesia services during nose or sinus surgery, ensuring accurate documentation and reimbursement for healthcare providers.
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CPT code 00732 is used for anesthesia services during upper gastrointestinal endoscopic procedures, specifically for ERCP.
3. Modifier 51 - Multiple Procedures: Used when multiple procedures are performed during the same surgical session. This modifier indicates that the procedure is one of several performed.
CPT code 00320 is used for anesthesia services related to procedures on the neck organs for patients aged one year or older.
CPT code 00632 is used for anesthesia services related to the removal of nerves, ensuring accurate documentation and reimbursement for healthcare providers.
1. Modifier 22 - Increased Procedural Services: Used when the work required to provide a service is substantially greater than typically required. This could be due to increased complexity or difficulty of the procedure.
CPT code 00754 is used for anesthesia services during hernia repair procedures, helping standardize and streamline healthcare documentation.
CPT code 00630 is used for procedures involving anesthesia during spine cord surgery, helping streamline healthcare service documentation.
CPT code 00740 is used for anesthesia services during procedures that involve visualizing the upper gastrointestinal tract.
CPT code 00524 is used for anesthesia services during chest drainage procedures, ensuring accurate documentation and reimbursement.
CPT code 00210 is used for anesthesia services during unspecified cranial surgery, ensuring accurate procedure documentation and reimbursement.
CPT code 00520 is used for anesthesia services during chest procedures, ensuring accurate documentation and reimbursement for healthcare providers.
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CPT code 00211 is used for anesthesia services during cranial surgery to treat a hematoma, ensuring accurate procedure documentation.
13. Modifier 81 - Minimum Assistant Surgeon: Indicates that a minimum assistant surgeon is required during the procedure.
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CPT code 00640 is used to identify anesthesia services provided during spine manipulation procedures for healthcare documentation and reimbursement.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
CPT code 00142 is used to identify and categorize anesthesia services provided during lens surgery for streamlined healthcare documentation.
CPT code 00472 is used for procedures involving anesthesia during chest wall repair, ensuring accurate documentation and reimbursement.
8. Modifier 76 - Repeat Procedure or Service by Same Physician: Used when a procedure or service is repeated by the same physician or other qualified healthcare professional subsequent to the original procedure or service.
201131 — OK, thanks guys. Some other cars have bearings that fail close to the 100 k mark, some sooner. Other car makes last about 150 k.
CPT code 00120 is used to identify and categorize anesthesia services provided during ear surgery for streamlined healthcare documentation.
CPT code 00164 is used for anesthesia services during a nose biopsy, ensuring accurate documentation and reimbursement for healthcare providers.
CPT code 00215 is used for anesthesia services during skull repair or fracture procedures, ensuring accurate documentation and reimbursement.
CPT code 00500 is used for anesthesia services provided during esophageal surgery, ensuring accurate procedure documentation and reimbursement.
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CPT code 00352 is used for anesthesia services during neck vessel surgery, ensuring accurate documentation and reimbursement for healthcare providers.
CPT code 00670 is used for anesthesia services during spinal cord surgery, ensuring accurate documentation and reimbursement for healthcare providers.
CPT code 00174 is used for anesthesia services during pharyngeal surgery, helping standardize and streamline healthcare service documentation.