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Webinar/Audio Conference FAQs

Failure to use the correct HCPCS Level II modifier may result in claims denial. Nancy will discuss how modifiers (or lack thereof) cause denials and why.

Many modifiers are considered “informational only” and do not affect the processing of the claim or reimbursement. In some instances, insurers tell providers that a HCPCS code must be accompanied by a code modifier to provide additional information regarding the service or item identified by the HCPCS code. Modifiers are used when the information provided by a HCPCS code descriptor needs to be supplemented to identify specific circumstances that may apply to an item or service.

Medicare coverage status for the Level II modifier:
The codes and descriptions for these alpha characters include:

Other Modifiers Discussed:

• Specialized Modifiers
• Coronary Artery Modifiers for Interventional Cardiology Procedures
• Rt and Lt Modifiers

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About the Presenter

Nancy is a nationally-renowned procedural and diagnostic coding instructor, boot camp trainer, and workshop leader. She is a highly-talented presenter who uses her knowledge and humor to reinforce the philosophy that coding can be fun! She has spent more than 30 years as a hands-on coder and has authored countless coding articles and presentations. In her expansive career, she has transitioned from nursing, to coding, to practice management, auditing and consulting. Nancy served as Director of Coding and Reimbursement at UTMB in Galveston Texas for four years. She served the first two terms as president of AAPC in the early 1990s. Her expert guidance is guaranteed to help medical office professionals make the best decisions in their everyday jobs and a positive impact on their career.