HP213B W2D2 Applying HCPCS Level II Modifiers We have learned in our readings this week that modifiers may be used in conjunction with HCPCS codes and that there are several modifiers and situations when this may be needed. Modifiers provide additional information to the insurance company related to a product or service that is being reported for reimbursement purposes. Modifiers are an additional descriptor that notifies the insurance that there was a specific circumstance that arose outside of the normal process during the patient’s encounter. HCPCS Modifiers Demonstrate your understanding of when an HCPCS modifier may be used. Include the following aspects in the discussion: Refer to your readings and supplemental resources Provide an example of an HCPCS modifier Summarize in your own words what it means Assign an HCPCS code to your selected modifier example Discuss what may result if the modifier was not added to the HCPCS code and was billed to the insurance company it.
