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May 2023

Reminder: Anatomical modifiers required

In the September 2021 Record, we let you know that we require anatomical modifiers for surgical procedure codes. Anatomical modifiers identify the specific area of the body where a procedure is performed. Requiring these modifiers aligns with AMA CPT guidelines and supports our commitment to implementing payment integrity solutions that enhance payment accuracy.

Please be sure to append the appropriate modifier to surgical procedures. Claims that are submitted without the appropriate anatomical modifier may receive a denial. 

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2022 American Medical Association. All rights reserved.
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