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modifier on scope

Linda Posted Fri 13th of April, 2012 13:40:06 PM

'31231' and '31575' done on same visit. modifier on either?

SuperCoder Answered Fri 13th of April, 2012 13:51:01 PM

You should use modifier -59 on CPT 31231, but it's a separate procedure. If both the procedures are performed on same session, you should only bill CPT 31575.

SuperCoder Answered Fri 13th of April, 2012 13:54:43 PM

Even though 31231 being a separate procedure, you can still bill it with 59 modifier, along with 31575. The anatomical location is differnt.

SuperCoder Answered Fri 13th of April, 2012 14:53:29 PM

You can't report both codes by appending modifier -59 even though locations are different. Many experts says with proof that if nasal endoscopy is performed with the same endoscope utilized for the laryngoscopy, then you never ever report endoscopy (separate procedure) with -59, only you should report 31575. And if the scopes are different, means, nasal endoscope with layngoscope, then of course, you should use -59. It completely depends upon the documentation.

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