Modifier –PT will “prompt the claims processing system to waive the deductible for ALL surgical services on the same date of service as the diagnostic service,” according to the ASF. “Unlike the additional waiver of copayments and coinsurance for straight screening services allowed by the Patient Protection and Accountable Care Act, if the planned screening service becomes a diagnostic service, only the deductible is waived.”
The information provided should be utilized for educational purposes only. Please consult with your billing and coding expert. Facilities are ultimately responsible for verifying the reporting policies of individual commercial and MAC/FI carriers prior to claim submissions.
Learn more about Ambulatory Surgery Foundation.
Read other coding guidance:
– 8 Common Coding Errors for 7 ASC Specialties
– 5 Steps to Audit Your Coding Process
– 3 New CPT Codes for Balloon Sinus Dilation
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.