Modifier 50 Is the Backbone to Your Bilateral Spinal Surgery Reimbursement

Published: Wed, 03/08/17

Spine surgeons who perform bilateral surgeries such as lumbar laminotomies (63030) should append modifier 50 (Bilateral procedure) to the procedure code and double their charges rather than report multiple units. Coders who follow this rule will be well prepared to report complex procedures, such as bilateral laminotomies, on several levels.

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The Opioid Payment Crisis

Addiction services may be a societal necessity – especially as the Central Massachusetts opioid crisis proves particularly fatal – but it is a business, and in this area of medicine, the playing field is not necessarily equal for patients or providers...

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How to Take Advantage of New Coding Opportunities in 2017

A new year means new codes and new revenue opportunities for medical practices—but also new challenges to ensure the codes are used correctly.

Below is a brief summary of new current procedural terminology (CPT) codes, modifiers and place of service codes that went into effect January 1, 2017.

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Risk Adjustment: Excitement and Anxiety

The excitement and anxiety about risk adjustment in the healthcare industry is growing on a daily basis, and we are hearing tremendous hopes to learn and gain new expertise about the shift from fee-for-service (or volume-based) to fee-for-value (or value-based) reimbursement. Everyone in today’s healthcare organizations is feeling an increased urgency...

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Importance of DRG Reconciliation in the CDI and Coding Processes

The Centers for Medicare & Medicaid Services (CMS) performs diagnosis-related group (DRG) validation to ensure that reported diagnostic, procedural, and discharge status information matches both the attending’s description and the information contained within the beneficiary’s health record. CMS auditors are instructed to...

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