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88177

Heather Posted Mon 09th of September, 2013 14:12:08 PM

Is it appropriate to bill 88177 with a 59 modifier when more than 2 units have been performed?

SuperCoder Answered Tue 10th of September, 2013 16:24:29 PM

(When repeat immediate evaluation episode(s) is required on subsequent cytologic material from the same site, eg, following determination the prior sampling that was not adequate for diagnosis, use 1 unit of 88177 for each additional evaluation episode)

SuperCoder Answered Fri 13th of September, 2013 17:05:31 PM

No, you should not use modifier 59 if you perform multiple units of 88177.
The correct way to use the codes is to report 88172 for the first immediate cytohistologic study from a single site, and +88177 for each additional immediate cytohistologic study from the same site. You can report multiple units of +88177 without a modifier. CPT instructs you to "use 1 unit of
88177 for each additional evaluation episode."

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