Our eligibility verification guidelines help your team confirm active coverage, plan benefits, network status, and patient financial responsibility
Our prior authorization guidelines help your team identify payer requirements, gather clinical documentation, and submit complete requests before
Modifier 77 indicates a repeat procedure by another physician on the same day, helping payers distinguish independent clinical
The CQ modifier is used in medical billing to indicate that outpatient physical therapy services were furnished in
Modifier 66 signifies a surgical team was required for highly complex procedures, alerting payers that multiple specialized physicians
Modifier 63 indicates a surgical procedure performed on an infant weighing 4 kg or less, reflecting the specialized
Modifier 62 indicates that two distinct surgeons acted as co-surgeons, each sharing primary operative responsibility for distinct parts
Modifier 56 signifies that a physician provided only the preoperative management and care, while another provider performed the
Modifier 55 indicates that a physician provided only the postoperative management following a surgical procedure performed by another
Modifier 54 indicates that a physician performed only the surgical procedure, leaving the pre-operative and post-operative management to
Modifier 53 indicates a discontinued surgical or diagnostic procedure due to extenuating circumstances or clinical threats to the
Modifier 52 indicates a reduced service, meaning a procedure or service was partially performed or significantly decreased at