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Requirements to Prevent the Misuse of Modifiers PA, PB, and PC on Incoming Claims

Guidance for the PA, PB and PC modifiers that are often being submitted incorrectly on claims. This can cause incorrect denials. This CR will help to alleviate the issue.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 04, 2009

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.