What does PT modifier mean?

What does PT modifier mean?

colorectal cancer screening test
CMS developed the PT modifier to indicate that a colonoscopy that was scheduled as a screening was converted to a diagnostic or therapeutic procedure. The PT modifier (colorectal cancer screening test, converted to diagnostic test or other procedure) is appended to the CPT® code.

What type of modifier is PT?

Modifier PT is more specialized and will be used by fewer practices. It is a HCPCS modifier, used to indicate that a colorectal screening service converted to a diagnostic or therapeutic service. Screening colonoscopies are covered by Medicare without a co-pay or deductible.

When to use PT modifier?

Modifier PT is more specialized. Modifier PT is more specialized and will be used by fewer practices. It is a HCPCS modifier, used to indicate that a colorectal screening service converted to a diagnostic or therapeutic service. Screening colonoscopies are covered by Medicare without a co-pay or deductible.

What does modifier PT mean?

Modifier PT indicates that a colorectal cancer screening test was converted to a diagnostic test or therapeutic procedure. No copay will apply. ICD9 Diagnosis Codes: V10.05, V16.0, V76.41, V76.51, V76.52, V76.89, V76.9 Screening Colonoscopy or Flexible Sigmoidoscopy converted to diagnostic test or therapeutic procedure.

When to use modifier 33 for preventive care?

Current Procedural Terminology (CPT) modifier 33 can be used when billing for ACA-designated preventive services with a commercial payer. The addition of modifier 33 communicates to a commercial payer that a given service was provided as an ACA preventive service.

What is a 33 modifier?

Modifier 33 is applied to indicate that the preventive service is one that waives a patient’s co-pay, deductible, and co-insurance. An exception is that modifier 33 does not have to be appended to those services that are inherently preventive (for instance, screening mammography).