Is the AI modifier only for Medicare?

Is the AI modifier only for Medicare?

Modifier AI is used identify the principal physician of record during an inpatient admission. This modifier should only be used by the admitting or attending physician overseeing the patient’s care during a hospital or nursing facility admission. This is an informational only modifier and does not affect claim payment.

What is the AI modifier?

Modifier “-AI,” defined as “Principal Physician of Record,” shall be used by the admitting or attending physician who oversees the patient’s care, as distinct from other physicians who may be furnishing specialty care. The principal physician of record shall append modifier “-AI” in addition to the initial visit code.

What is a A1 modifier used for?

Modifier A1 Modifiers A1-A9 have been established to indicate that a particular item is being used as a primary or secondary dressing as well as to indicate the number of wounds on which that dressing is being used.

What is a 57 modifier?

Modifier 57 Decision for Surgery: add Modifier 57 to the appropriate level of E/M service provided on the day before or day of surgery, in which the initial decision is made to perform major surgery. Major surgery includes all surgical procedures assigned a 90-day global surgery period.

What is modifier 27 used for?

Modifier 27 is for hospital/outpatient facilities to use when multiple outpatient hospital evaluation and management (E/M) encounters occur for the same beneficiary on the same date of service.

What is a 24 modifier?

Modifier 24 is defined as an unrelated evaluation and management service by the same physician or other qualified health care professional during a post-operative period. Medicare defines same physician as physicians in the same group practice who are of the same specialty.

What is the 76 modifier used for?

Modifier 76 Used to indicate a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service.

What is modifier 77 used for?

CPT modifier 77 is used to report a repeat procedure by another physician. This modifier may be submitted with EKG interpretations or X-rays that require a second interpretation by another physician.

What is 62 modifier used for?

Under certain circumstances, two surgeons (usually with different expertise) may be needed to perform a specific surgical procedure. An example of co-surgery is when one surgeon performs an incision and exposes the area requiring surgery and another surgeon performs the surgery.