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Printed Date: 9/22/2015
Yes. Documentation modifiers must be submitted in the first position. The appropriate modifier from the list below must be submitted in the first position to indicate whether the service was personally performed, medically directed or medically supervised:
If one of the following monitored anesthesia modifiers applies, it must be submitted as an additional modifier in the second position:
Processing delays and rejections may occur for claims submitted without the modifiers in the correct position.
Resource: CMS IOM Pub. 100-04, Chapter 12, Section 50 (PDF, 1.05 MB)
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Last Updated: 09/01/2020