Physicians, suppliers and providers must append modifier PD to preadmission diagnostic and admission-related nondiagnostic services reported with HCPCS Level II or CPT codes subject to the 3-day payment window policy.
Modifier PD is available for claims with dates of service on or after Jan. 1, 2012. CMS advises entities to begin coordinating their billing practices and claims processing procedures with hospitals to ensure compliance with the 3-day payment window policy no later than for claims received on or after July 1, 2012.
Related Articles on Coding, Billing and Collections:
The Problem With ASC Reimbursement Methodology: 4 Thoughts From Tri-City Orthopaedic Clinic’s Scott Faringer
Surgery Center Coding Guidance: Telescopic Intraocular Lens
MedPAC Recommends 0.5% Payment Increase for ASCs
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
