Pricing vs Informational Modifier Order
Pricing vs Informational Modifier Order - a deterministic tool in Sophie Well's Billing & Reimbursement group.
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What this is
Pricing vs Informational Modifier Order is one of 230 deterministic tools in Sophie Well's Billing & Reimbursement group. Pricing vs Informational Modifier Order - a deterministic tool in Sophie Well's Billing & Reimbursement group.
When to use it
Use this tool when you need a quick, citable reference. Every calculation runs entirely in your browser - no inputs leave your device, no account is required, no AI is involved. The site enforces a strict Content Security Policy and ships no analytics or third-party CDN.
References
CMS Pub. 100-04 Ch. 12 / 23 modifier-reporting guidance and payer claim-editing convention: pricing (payment-affecting) modifiers are reported before informational/statistical modifiers; the wrong order can mis-price or reject the line. Read the source ↗
Worked example: Claim order: 26 59 RT -- 26 (pricing) leads; 59 and RT follow as informational.
Sophie Well is a reference and educational tool. Not medical, legal, or financial advice. Does not replace clinician judgment, professional billing review, or legal counsel.