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MODIFIER

Shade Posted Wed 23rd of July, 2014 14:26:19 PM

IF A LACERATION REPAIR WAS DONE WITH TETANUS INJECTION GIVEN TO PT. O THE SAME DAY OF VISIT HOW DO I UNBUNDLED THE CODE E.G,

99213 25
12001
90471
90714
WHAT MODIFIER WILL I USE TO UNBUNDLED THE INJECTION WITH THE REPAIR CODE. PLEASE HELP.

SuperCoder Answered Thu 24th of July, 2014 02:02:40 AM

In the example, that you have mentioned there is no bundling between the laceration repair code and the injection code as per CCI edit.

In general, if you will find any code bundling into other code performed in the same session by same provider, then append modifier 59 with the smaller procedure that bundles to more comprehensive procedure.

Modifier 59 represents a procedure or service that is distinct or independent from other services performed on that same day.

Thanks !!

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