Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Modifier 99

Cassandra Posted Mon 15th of February, 2010 21:30:50 PM

How many modifiers can you use. I thought if you had more than 2, you had to use modifier 99. I have like 5 modifiers. T1, TA, T5, T9, and RT. All used with CPT 11056. Can someone please help me code this and where on HCFA would the modifiers go. THANKS

SuperCoder Answered Tue 16th of February, 2010 06:09:31 AM

Description of CPT 11056 only says paring and cutting of 2 to 4 lesions, which means no matter which foot has been treated. Similarly, CPT code 11057 it is for more than 4 lesion. So in this case donot use any modifier like T1, TA, T5, T9, and RT. You should only report one code that represents the total number of lesions the podiatrist removed. If you try to bill 11055 and 11056--even with RT (Right side) and LT (Left side) modifiers--you’ll most likely get a denial.
Box 24D in the CMS claim Form 1500 is used for reporting a CPT/HCPCS, modifier and ICD-9 codes.

Related Topics