I-Basics of Modifiers esebenziselwa ukuCoding Medical

Amakhompiyutha wekhodi yezokwelapha achazwe

Amanye amakhodi we-CPT ne-HCPCS adinga ukusetshenziswa kwe-modifiers. Ziqukethe inombolo yezinombolo ezimbili, izinhlamvu ezimbili noma izinhlamvu ze-alphanumeric. I-CPT ne-HCPCS ikhodi yokuguqula ikhodi inikeza ulwazi olwengeziwe mayelana nensizakalo noma inqubo eyenziwe. Ngezinye izikhathi ama-modifiers asetshenziselwa ukukhomba indawo yomzimba lapho kwenziwa khona inqubo, izinqubo eziningi esimisweni esifanayo, noma ukhombise inqubo eqalisiwe kodwa ishiyiwe.

Abaguqulwayo abashintshi incazelo yenqubo yamakhodi ayengeziwe kuwo.

Amathiphu wokuguqula

• Ukuze uthole uhlu oluphelele lwe-modifiers, vula ku-Appendix A ye-CPT manual
• Faka ama-modifiers kuphela ngokusho komhlahlandlela wokukhokhela umshwalense ngamunye
• Ukusetshenziswa kokuguqulwa kuhlukile odokotela nezinsizakalo zesibhedlela
• Akuwona wonke ama-modifiers angasetshenziswa nawo wonke amakhodi we-CPT ne-HCPCS
• Bheka i-National Correct Coding Initiative (NCCI) ye-Medicare ne-Medicaid encoding
• Yazi kahle ama-modifiers asetshenziswe ngokweqile noma asetshenziswe ngokungalungile
• Ikhodi engalungile yenqubo yenqubo yokuguqula ingabangela ukubambezeleka noma ukuncishiswa kokukhokha

Izinguquko ezivame ukusetshenziswa

I-Modifier 21 (Isikhathi eside) isetshenziselwa ukukhomba amasevisi e-E / M (Ukuhlola nokuPhatha) uma isevisi idlula izinga eliphezulu lokunakekelwa okungabikwa.

I-Modifier 22 (Imisebenzi Yomsebenzi Engavamile) isetshenziselwa ukubika isikhathi esengeziwe nomsebenzi ngezinsizakalo uma izinsizakalo ezinikeziwe zidlula incazelo yenqubo kubikwa.

I-Modifier engu-24 (engahlobene) isetshenziselwa ukukhomba amasevisi e-E / M (Ukuhlola nokuPhatha) anikezwe ngosuku olufanayo lohlinzekwa udokotela ohlinzayo kodwa aluhambisani nokuhlinzwa.

I-Modifier engu-25 (Ebonakalayo Ngokuphawulekayo Ngokukhethekile) isetshenziselwa ukukhomba amasevisi e-E / M (Ukuhlola nokuPhatha) njengoba ahlukile kwenye isevisi eyenziwa ngosuku olufanayo ngumhlinzeki ofanayo.

I-Modifier 26 (I-Component Professional) isetshenziselwa ukukhomba ingxenye yeprofeshini yenkonzo eyenziwa udokotela noma incazelo yezinsizakalo ezenziwa udokotela.

I-Modifier 50 (Izinqubo Zokubambisana) isetshenziselwa ukukhomba izinqubo zomphakathi phakathi nesikhathi esifanayo sokusebenza.

I-Modifier 51 (Izinqubo Eziningi) isetshenziselwa ukukhomba izinqubo eziningi ezenziwe ngosuku olufanayo, izinqubo ezilandelayo, noma izinqubo ezenziwa ngesikhathi sokusebenza okufanayo ngudokotela ofanayo.

I-Modifier 53 (Inqubo Engavunyelwe) isetshenziselwa ukukhombisa ukuthi udokotela ukhethe ukuqeda inqubo yokuhlinzeka noma yokuxilonga ngenxa yenhlalakahle yesiguli.

I-Modifier 59 (Isevisi ye-Procedural Distinction) isetshenziselwa ukukhomba izinsizakalo noma izinqubo ezenziwa ngosuku olufanayo ngenxa yezimo ezikhethekile ezingajwayelekile ngokubikwa ndawonye.

I-Modifier 91 (Phinda i-Laboratory Procedure) isetshenziselwa ukukhomba izinsizakalo ze-laboratory noma izinqubo ezenziwa okungaphezu kwesisodwa ngosuku olufanayo.

I-Modifier GA (Isitatimende Sokwethenjwa Kwefayili kufayela) isetshenziswe lapho izinkonzo ezenziwa zingacatshangwa ukuthi ziyadingeka ngokwemithi.

I-Modifier GX (Isaziso seMibophezelo esusiwe ) sisetshenziselwa ikhodi noma izinqubo ezifanelekile zokubonisa ukuthi i-ABN yokuzithandela yanikezwa ngezinsizakalo ezingabonwayo lapho isiguli sibhekene nayo (isib. Izidakamizwa ezizimele).

I-Modifier GY (Into noma Isevisi Engavunyelwe) ixhunywe kumakhodi (inqubo) engekho ohlwini lwe-ABN okubhekwa yi-Medicare njengoba engatholakali ukuthi isiguli sinesibopho salo (isib. Izidakamizwa ezizimele). I-GI yokuhlela ne-GX ingabikwa ndawonye.

I-Modifier GZ (Ayikho i-ABN Itholakele) isetshenziswe lapho i- tem noma isevisi kulindeleke ukuba inqatshelwe njengengacabangi futhi edingekile, kodwa umhlinzeki akazange anikeze isaziso se- Advance Beneficiary Notice (ABN ).

I-Modifier TC (I-Technical Component) isetshenziselwa ukukhomba ingxenye yezobuchwepheshe yenkonzo eyenziwa udokotela noma ukuchazwa kwezinsizakalo ezenziwa udokotela.