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Billing Multiple Procedures with Multiple Modifiers at a Nursing Home

Timothy Posted Wed 20th of August, 2014 17:57:19 PM

I was wondering how to properly apply the Modifiers,the order to list the procedures and which modifiers to attach to which procedure. I treatd an established patient but noted an infection and tinea pedis not previosly seen. I performed an I&D and also wrote orders for the Tinea Pedis.I also performed Nail Care 11721 with Q8. So I was planning to use 99307,10060,11721 the I & D was on the Left Hallux.

SuperCoder Answered Thu 21st of August, 2014 02:23:29 AM

Bill as following:

99307- 25
11721-59 (11721 is included in code 10060 as per CCI edit, hence you need to append modifier 59 with this code)

Modifier 59 represents 'Distinct Procedural Service'.
Modifier 25 represents 'Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service.'

Thanks !!

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