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Policy Reminder: Healthfirst Anatomical Modifier Requirement for Surgical Procedures

Posted Aug 28, 2020

Anatomic-specific modifiers should always accompany applicable CPT/HCPCS codes

As a reminder, providers are required to submit applicable anatomical modifiers when billing for services that can be performed at specific or multiple anatomical sites.

According to the AMA CPT Manual and the HCPCS Level II Manual, anatomic-specific modifiers designate the area or part of the body on which the procedure is performed and should always accompany applicable CPT/HCPCS codes when claims are submitted for payment.

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