Glossary
Modifier
A modifier is added to a billing code to describe a specific service, setting, or program rule. Examples include state-specific modifiers for doula visit type or delivery support.
Quick path
Start with the step you need.
- 1Find the rule for your stateStart with the state where the client has Medicaid coverage.Choose your state
- 2Check what is missingReview setup, visit notes, codes, and payer steps before billing.Use the checklist
- 3Save the checklistDownload the checklist, then keep client details in your own secure records.Open checklist
Why it matters
A missing or wrong modifier can make a claim look like the wrong service.