Using modifiers -25 and -59 in Urology Billing (Saint Lucie, FL)

Using modifiers -25 and -59 in Urology Billing

The Urological Supplies Local Coverage Determination (LCD) provides for the use of modifiers with each submitted HCPCS code to indicate whether the applicable payment criteria are met KX modifier and to provide other information related to coverage and or liability (GA GZ and GY modifiers) when the policy criteria are not met. This article reviews the appropriate use of each modifier through Urology Medical Billing Services. Proper selection of the correct G modifier requires an assessment of the possible cause for a denial. Some criteria are based on statutory requirements. A failure to meet a statutory requirement justifies the use of the GY modifier. To know more visit us bit.ly 2RFYkvM or email us at info(at)medicalbillersandcoders.com or call us at- 888-357-3226.