CPT® Modifier 33 for Preventive Services

Are you properly using Modifier 33 for Preventive Services?

An article published in the December 2010 issue of the CPT® Assistant highlights the correct usage of CPT® Modifier 33.

According to the American Medical Association (AMA) article:

• CPT® Modifier 33 has been created to allow providers to identify to insurance payers and providers that the service was preventive under applicable laws, and that patient cost-sharing does not apply.
• CPT® modifier 33 has been effective since January 1, 2011
• CPT® modifier 33 is applicable for the identification of preventive services without cost-sharing in four categories (The four categories are described in detail in the full article)
• Preventative services with a rating of an "A" or "B"  by the US Preventive Services Task Force (USPSTF) are services that are recommended to be offered or provided to the patient.
• The article also has a table highlighting the preventative services which are rated "A" or "B" with a description as well as the effective date.

To download and view the article published by the American Medical Association, please go to the following link: When to Use Modifier 33