Coding with Modifiers: A Guide to Correct CPT and HCPCS Modifier Usage

Please note: You may wish to choose your edition according to publication date. However, keep in mind that any book not yet published can be easily pre-ordered here so that you may plan ahead.

3rd Edition
Paperback, 350 pages + bonus CD-ROM
8.5" x 11"
ISBN 1579478891
9781579478896
American Medical Association
December 2007
List Price $92.95
(click below for 3rd edition)

2nd Edition
Paperback, 350 pages + bonus CD-ROM
8.5" x 11"
ISBN 1579477712
American Medical Association
May 2006
List Price $89.95
(click below for 2nd edition)

Don't forget about the modifier!

Missing or incorrect usage of modifiers is the most common reason that claims are rejected by payers. Leave off a modifier, or put in the wrong one, and your claim may be denied or paid the wrong amount. This reference contains updated CMS, third-party payer and AMA modifier guidelines to assist in coding accurately. This book contains updated CMS, third party payer, and AMA modifier guidelines to assist in coding accurately and avoiding payment delays.

Coding with Modifiers: A Guide to Correct CPT and HCPCS Level II Modifier Usage provides step-by-step guidance for the proper use of CPT and HCPCS modifiers. Also included are specific requirements for modifier usage in both professional service and hospital reporting.

Organized by modifier. Makes learning correct modifier coding easier.
Contains both CMS and AMA modifier guidelines. Guidelines are designated with a symbol for easy identification and understanding of each interpretation.
Modifiers Approved for Hospitals and ASCs - Complete information at your fingertips for both professional service and hospital reporting requirements.
Decision Tree Flow Charts. Lead to determination of the correct code.
Real-life clinical examples and definitions for each modifier. Helps you know if a modifier is being used correctly. New clinical examples - Guide readers in determining the correct modifier to use.
Coding tips. Provide hints on correct modifier usage. Helps to clear up confusion surrounding modifier usage
Hospital and Ambulatory Surgery Centers reporting requirements. A special section is dedicated to modifiers approved for hospitals and ambulatory surgery centers.
Teaching tool - Gives instructors the ability to create and administer tests
Chapter exercises and test-your-knowledge quizzes. Ensure understanding of the material. Test your comprehension of the material through more than 190 questions

Get your information right from the source: the American Medical Association. The AMA's CPT nomenclature uses modifiers as an integral part of its structure.

Please remember that the government no longer allows a grace period for annual code sets. The new HIPAA Transaction and Code Set Rule requires providers to use national medical code sets that are valid at the time that a service is provided. ICD-9-CM code revisions become effective October 1st each year while CPT and HCPCS code revisions become effective January 1st. In order for you to meet this requirement, you must have the revised CPT, HCPCS, and ICD-9-CM codes in your possession before the implementation dates. The best way to do this is to order your code books early. Review current coding resources.

(information from the publisher)

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