Hcr220 Week Six Checkpoint- Applying Level Ii Hcpcs Modifiers

623 WordsFeb 10, 20113 Pages
HCR/220–Week Six Checkpoint–Applying Level II HCPCS Modifiers * Apply the appropriate Level II HCPCS code modifier for each of the following examples. Explain your rationale. a) Portable home oxygen unit-GY – identifies rental or purchase of durable medical equipment for use in the patient’s home; is statutorily excluded, does not meet the definition of any Medicare benefit or for non-Medicare insurers, is not a contract benefit, is appended to procedures that are excluded from the Medicare payment system. b) Left trigger thumb release–FA- left hand, thumb- Modifiers used in conjunction with the procedures of the hand, feet, and eyelids. The modifiers will not affect payment amount; however, failure to use these modifiers…show more content…
g) Orthopedic shoes-GY-– identifies rental or purchase of durable medical equipment for use in the patient’s home; is statutorily excluded, does not meet the definition of any Medicare benefit or for non-Medicare insurers, is not a contract benefit, is appended to procedures that are excluded from the Medicare payment system. h) Diagnostic mammogram, right breast-GG, & RT- (GG) Performance and payment of a screening mammography and diagnostic mammography on the same patient, same day. This is billed with the diagnostic mammography code to show test changed from a screening test to a diagnostic test. Contractors will pay both the screening and diagnostic mammography tests. This modifier is for tracking purposes only. (RT)-Right side of the body- used to identify procedures performed on the right side of the body. Applies to code that identify procedures which can be performed on a contralateral anatomic sites or on paired organs, extremities on e.g., ears, eyes, nasal passages, kidneys, lungs, ureters, and ovaries. i) Skin tag removal upper left eyelid-E1-Upper left eyelid- Modifiers used in conjunction with the procedures of the hand, feet, and eyelids. The modifiers will not affect payment amount; however, failure to use these modifiers when appropriate, could result in claim delay or denial. j) Electric hospital bed-GY- identifies rental or purchase of

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