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June 2, 2024

When is a CMS-1500 used? When is the modifier 26 is added to a code?

General Question

When is a CMS-1500 used? When is the modifier 26 is added to a code?

When is a CMS-1450 is used? What is a superbill used for? What is a panel? What should you do if one of the tests is not conducted in a panel?

Dr. James has ordered a lipid panel for cholesterol screening. What is a panel, and how is it coded? How is the panel code affected if one of the tests is not done (Tip: Think about all tests in the panel being performed versus a selection of tests being performed and/or listed and coded separately)? What modifier cannot be used with the panels [Tip: Fill in the blank, Modifier (5-) cannot be used with a panel]?

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