These interim (or local) modifiers are being phased out under Health Insurance Portability and Accountability Act (HIPAA) requirements. Refer to the list of discontinued and invalid modifiers at the …

The following chart has been developed to assist providers in understanding how the Kansas Medical Assistance Program (KMAP) handles specific modifiers. It is imperative providers understand the …

A GA modifier is attached to the colonoscopy code, which alerts Medicare that it is expected to be denied as not reasonable and necessary and that the patient was informed.

The definition of each modifier can be found within the document linked in the type of modifier column in the chart below. For modifiers that can be used for more than one topic, please refer to the Additional …

This document lists commonly used modifiers used in medical billing. Modifiers are critical in conveying specific details about how, where, when, and the circumstances in which a service was provided.

Modifiers must be supported in the medical documentation. Modifiers may also be policy specific. Some modifiers listed are dual use, you will identify those by the / symbol. Meaning the description before / …

specific modifiers. All modifiers are for use by professional provide.

Reduce denials, improve claim accuracy, and stay compliant with this easy guide. Use only when necessary—otherwise, use X modifiers (XE, XP, XS, XU). Ensure documentation supports a …

Browse the 2025 HCPCS modifiers list for precise medical billing and coding. Stay up-to-date with modifiers for healthcare procedures, services, and supplies.

Contact ISMA Practice Management staff at (800) 257-4762 or (317) 261-2060.