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UB indicates a second additional trip taken by the same individual on the same day in the same type of vehicle to or from the same type of location.

Modifier 59 is used to identify procedures/services, other than evaluation and management (E/M) services, that are not usually reported together, but are appropriate under the patient's specific circumstance.

Read the application carefully. Attach copies of your proof of income, resources (such as cash, savings, checking, real property, stocks, bonds, etc.), proof of citizenship or alien status, pregnancy if applicable, and other insurance you may have.

Individuals with an existing Ohio Benefits Self-Service Portal account can log in and report changes. Visit ssp.benefits.ohio.gov. Select the “Access My Benefits” tile. Select “Report a Change to My Case” from the dropdown and follow the prompts.

Modifier 50 is used to report bilateral procedures (procedures described with the same CPT code) that are performed at the same operative session by the same physician on bilateral body structures (identical anatomic sites on opposite sides of the body).

(5) The "U2" modifier must be used when the same provider submits a claim for billing code T1002, T1003 or T1019 for a second visit to an individual enrolled on the Ohio home care waiver for the same date of service.

Modifier 50 is used to report bilateral procedures (procedures described with the same CPT code) that are performed at the same operative session by the same physician on bilateral body structures (identical anatomic sites on opposite sides of the body).

UB Used for surgical or general anesthesia-related supplies and drugs, including surgical trays and plaster casting supplies, provided in conjunction with a surgical procedure code. Modifiers UA and UB are mutually exclusive; therefore, only one modifier is allowed for each surgical procedure.