What’s the easiest way to communicate to a payer that medical procedures and services submitted for reimbursement are not
straightforward cases? Rather than submitting pages of medical
records and operative reports, a CPT modifier often can accurately describe what has occurred and help reduce the claims submission nightmares familiar to most plastic surgeons.
The rules governing coding and reimbursement for office-based musculoskeletal care are often confusing and proper guidelines can be difficult to find. Further complicating matters, the rules and requirements can be interpreted differently depending on the place of service and payor policies.
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