CPT code 96932 is for cellular and subcellular imaging of the skin, used in dermatology to diagnose and monitor skin conditions.
CPT code 96932 is used for reporting the service of cellular and subcellular imaging of the skin. This procedure involves advanced imaging techniques to examine the skin at a microscopic level, allowing healthcare providers to diagnose and monitor various skin conditions with high precision. This code is typically utilized by dermatologists and other specialists who require detailed visualization of skin cells and structures for accurate assessment and treatment planning.
For CPT code 96932, the following modifiers may be applicable:
1. Modifier 25: Significant, separately identifiable evaluation and management (E/M) service by the same physician or other qualified healthcare professional on the same day of the procedure or other service. This modifier is used when an E/M service is provided on the same day as the procedure and is distinct and separately identifiable from the procedure itself.
2. Modifier 26: Professional component. This modifier is used when only the professional component of the service is being billed, typically when the interpretation of the results is performed separately from the technical component.
3. Modifier 50: Bilateral procedure. This modifier is used when the procedure is performed on both sides of the body during the same session.
4. Modifier 51: Multiple procedures. This modifier is used when multiple procedures are performed during the same session by the same provider.
5. Modifier 52: Reduced services. This modifier is used when a service or procedure is partially reduced or eliminated at the physician's discretion.
6. Modifier 59: Distinct procedural service. This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day.
7. Modifier 76: Repeat procedure or service by the same physician or other qualified healthcare professional. This modifier is used when a procedure or service is repeated by the same provider on the same day.
8. Modifier 77: Repeat procedure by another physician or other qualified healthcare professional. This modifier is used when a procedure or service is repeated by a different provider on the same day.
9. Modifier 78: Unplanned return to the operating/procedure room by the same physician or other qualified healthcare professional following initial procedure for a related procedure during the postoperative period.
10. Modifier 79: Unrelated procedure or service by the same physician or other qualified healthcare professional during the postoperative period. This modifier is used when a procedure or service is performed during the postoperative period of another procedure, but is unrelated to the original procedure.
11. Modifier 91: Repeat clinical diagnostic laboratory test. This modifier is used when the same laboratory test is performed multiple times on the same day to obtain subsequent test results.
Each of these modifiers serves a specific purpose and should be used appropriately to ensure accurate billing and reimbursement.
The CPT code 96932 is reimbursed by Medicare, but it is essential to verify its inclusion in the Medicare Physician Fee Schedule (MPFS) to determine the specific reimbursement rate. The MPFS provides a comprehensive list of services covered by Medicare and their corresponding payment amounts.
Additionally, it is crucial to consult with your local Medicare Administrative Contractor (MAC) to confirm any regional variations or specific guidelines that may affect reimbursement for CPT code 96932. Each MAC may have unique policies or requirements that could influence the reimbursement process.
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