What is “a modifier” in medical billing?

A Modifier in Medical Billing

A modifier in medical billing is a two-character code added to a CPT or HCPCS code to provide additional information about the service or procedure.

A Modifier in Medical Billing Explained

In medical billing, modifiers are used to indicate that a service has been altered in some way without changing the procedure’s definition. Modifiers help provide clarity to insurance companies and ensure accurate billing for complex situations.

For example, a provider adds a modifier to a surgical code to indicate that the procedure was performed on both sides of the body.

Learn more about common acronyms and abbreviations in Medical billing glossary.

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