Modifer 25

Modifier 25 is the most important modifier for pediatricians in Current Procedural Terminology. Review the requirements for using this modifier.

HCPS Modifiers X-EPSU

In order to discern the specific reason for a separately reportable procedure, CMS created specific modifiers. These are reported in lieu of the generic modifier 59. Learn more about these modifiers.

National Correct Coding Initiative Edits

CMS has created 2 sets of coding edits to help reduce the likelihood of inappropriate billing. While this is a CMS initiative, many commercial payers and Medicaid follow. Find out more about these edits and how they impact your coding.

Medicaid NCCI FAQ

A list of frequently asked questions and answers related to the Medicaid National Correct Coding Initiative.