Tips on Modifier 33

Modifier 33 was added in November 2011. Are you aware of the appropriate times to append Modifier 33?

To help, the AAPC's Coding Edge Magazine published an article titled: "8 Tips to Give You Straight Facts on Modifier 33"

The following are the tips that the article discussed in further detail:

1. Do You Know Where to Find Information on Modifier 33?
2. Do You Know Which Services are Covered?
3. Apply Modifier 33 for Private Payers Only
4. Turn to Modifier 33 for Screening Turned Diagnostic
5. Selected Services Covered In-network Only
6. Apply Modifier 33 to All Eligible Services
7. Cost Sharing Doesn’t Apply for Separate, Same-day Services
8. Designated Preventive Services Don’t Require Modifier 33

To download and view the full article in detail, please go to the following link: 8 Tips to Give You Straight Facts on Modifier 33 (PDF)

Correctly Using Modifier 33 and Modifier PT

Do you know the difference on when to use CPT® Modifier 33 and Modifier PT?

Modifier 33

• Developed by the American Medical Association (AMA)
• Modifier 33 is for services with US Preventive Services Task Force (USPSTF) A or B rating

Modifier PT

• Developed by the Centers for Medicare and Medicaid Services (CMS)
• Modifier PT is more specialized

An article published by Kareo, explains Modifier 33 & Modifier PT, as well as, addresses the following questions:

• What services have an A or B rating?
• What to do if you forget the modifier
• Should you use both Modifier PT and Modifier 33?

To go to the full article, please go to the following the link: Modifier 33 and Modifier PT

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