Modifiers 52 & 53 - Part 3

Modifiers 52 & 53 - Part 3

In Part 3, KZA Coding Expert Deb Grider tackles one of the most important questions practices have about Modifiers 52 and 53: how do they affect reimbursement? Deb explains how payers typically evaluate reduced and discontinued procedures, why documentation plays a critical role in payment decisions, and what providers should expect when these modifiers are appended to a claim. This episode offers valuable insight into the financial implications of accurate modifier usage.

Modifiers 52 & 53 - Part 2

In Part 2 of our Modifiers 52 and 53 series, KZA Coding Expert Deb Grider takes us beyond the definitions and into real-world clinical examples. From cardiology and general surgery to ENT and orthopedic procedures, Deb walks through scenarios that demonstrate when each modifier is appropriate and how patient circumstances drive coding decisions. This episode helps bring these often-confused modifiers to life through practical application.

Modifiers 52 & 53 - Part 1

We're kicking off our four-part series on Modifiers 52 and 53 with KZA Coding Expert Deb Grider. In this first episode, Deb breaks down the definitions of Reduced Services (Modifier 52) and Discontinued Procedures (Modifier 53), explaining when each modifier should be used and why understanding the distinction is critical for accurate coding and compliance. If you've ever wondered where the line is between a reduced service and a discontinued procedure, this episode lays the foundation.

Modifiers 93 & 95 - Part 4

We wrap up our Modifier 93 and 95 series with KZA Coding Expert Deb Grider, who brings it all together with key questions every practice should be asking before billing telehealth services. From verifying modality and CPT eligibility to ensure documentation and place of service align, this episode provides a practical checklist to support accurate, compliant telehealth billing. A must-listen for anyone looking to tighten up their telehealth process.

Modifiers 93 & 95 - Part 3

In part 3 of our Modifier 93 and 95 series, KZA Coding Expert Deb Grider takes us into the complexities of payer policies and real-world scenarios. From Medicare vs. commercial payer differences to behavioral health examples and connectivity challenges mid-visit, deb highlights how quickly telehealth billing can become nuanced. This episode helps you think beyond the basics and navigate payer-specific expectations with clarity.