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Gastroenterology

Thomas Posted Sun 18th of October, 2015 18:03:27 PM

When billing 45382 and 45385 can we still use 59 modifier or should be billed as follows:
45382-XS
45385
I understood we can still use 59 modifier for Medicare?

Thank you!

SuperCoder Answered Mon 19th of October, 2015 07:55:43 AM

You can code this scenario with 45382-59 and 45385.
To use modifier XS, it should be mentioned in documentation that the bleeding and polyps/tumors are present at separate structure/site, but this information is missing here. If both are present at separate sites/structures, we will use XS modifier in place of 59.

Hope this will help you

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