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Modifier: the appropriate use of a modifier allows these code pair to be reported together. In most cases, the -59 modifier is used, although there are other acceptable modifiers. These modifiers must be supported by documentation in the medical record. No Modifiers: these code pairs should never be reported together, regardless of modifiers.
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HCPCS includes three levels of codes: Level I consists of the American Medical Association's Current Procedural Terminology (CPT) and is numeric.; Level II codes are alphanumeric and primarily include non-physician services such as ambulance services and prosthetic devices, and represent items and supplies and non-physician services, not covered by CPT-4 codes (Level I).
New editions are released each October, [2] with CPT 2021 being in use since October 2021. It is available in both a standard edition and a professional edition. [3] [4] CPT coding is similar to ICD-10-CM coding, except that it identifies the services rendered
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Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed. [1] This bill is called a claim. [2]
Split billing is the division of a bill for service into two or more parts. Bills may be split to divide work between clients, payers or for reimbursement to different service providers for performing a shared service. [1] [2]
A global market of the packaged telecommunications billing systems estimated to $6 Billion at 2007 and forecast to grow up to $7.2 Billion in 2012. [9] Market shares by application specific as of 2007 were following: 27,2% — mobile postpaid; 16,4% — business billing for fixed networks;