Permissions: You must have Administration Permissions.
Some insurance payers require modifiers to be added to CPT Codes or service types. Read the article to find out how.
What is a Modifier?
A service or procedure can be further described by using 2-digit modifiers. Your payer (insurance) will be the one to dictate to you which modifier they want you to use. WebABA cannot instruct or advise what modifiers should be used. We can only instruct where they can be added.
Before You Begin
If you're submitting to multiple payers keep in mind they might require different modifiers for the same CPT code. In that instance you will need to have separate service types with modifiers for each payer.
Example: Telehealth. BCBS may require you use 95 and Aetna may require you use GT. You will then need two separate service types with two different modifiers. Follow the steps here to add a new service type.
Add a Modifier
Modifiers need to be attached to the service or CPT code. To do this you will need to add or edit an existing service type to include that code.
- Go to Organization in the primary navigation bar
- You will land on the Settings Click on Service Types tab.
- Either add a new service type or edit an existing service type and populate the code modifier field with the desired modifier.
- Click Save.