Which indicators specify that modifiers cannot be reported?

The correct indicators that specify that modifiers cannot be reported are indicators 3 and 4. This is vital to understand as these indicators provide specific guidance for coding and billing practices that ensure compliance with healthcare regulations and correct reimbursement.

Indicator 3 signifies that a modifier is not allowed because the procedure or service is bundled into another code. In such cases, billing for the additional service would be inappropriate, as it does not provide any additional value to the healthcare service rendered.

Indicator 4 indicates that the service is inherently complete. This means that the procedure itself includes all necessary components for completion, and thus, no modifiers should apply. Utilizing a modifier in these cases would misrepresent the service provided and could lead to billing inaccuracies.

Understanding these indicators is essential for medical auditors and coders to avoid billing errors and ensure ethical practices within healthcare finance. The correct application of these indicators helps in maintaining accurate medical records and facilitates proper reimbursement without risking audits or penalties from insurance companies.