pricing and payment modifiers?

What is the difference between pricing and payment modifiers?

pricing and payment modifiers?

There are CPT and HCPCS modifiers, some of which effect payment and some of which are informational only.

I'm not sure what your question is.

Pricing and payment modifiers

What modifiers effect the payment?

re: Pricing and payment modifiers

A friend sent this to me. It may help. :)

CATEGORIES:
1. PRICING modifiers (ie.,21, 22, 26, 50, 52, 53, 60, 62, 80, 82, P1-P6)

2. PAYMENT Eligible Modifier* (ie. 24, 25, 51, 57, 58, 59, 76, 77, 78, 79, 91)
(*presence communicates special situation that might otherwise not be paid
without the modifier based on billing/coding principles and global surgery guidelines)

3. LOCATION Modifiers E1-E4, FA, F1-F9, LC, LD, LT, RC, RT, TA, T1-T9

ORDER OF REPORTING:
- Pricing modifiers before payment modifiers and location modifiers EXCEPT when global surgery package involved, then report payment modifiers before pricing. Example modifier 78 and 62.
- Payment eligible modifiers before location modifiers
- Location modifiers are always last

If you have two pricing modifiers, the most common scenario is likely to involve 26 and another modifier. Always add 26 before any other modifier.