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modifiers

Barbara Posted Tue 20th of December, 2011 19:05:40 PM

is it correct to use 5059 or 5950 when posting sinus surgery on 2 lines? I thought the $$ modifier had to be first so wouldnt the bilat be the $$ modifier

so confused...
thanks for the help

SuperCoder Answered Tue 20th of December, 2011 20:19:05 PM

To best of my knowledge modifier with lower digit numbers sequences first. So, here 50,59.

SuperCoder Answered Tue 20th of December, 2011 23:46:14 PM

Follow these sequencing rules:
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1. Only one modifier? Append directly after the CPT code it relates to.
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2. Got two modifiers? If one is a pricing modifier (example: 26), it goes first. If the other is a statistical modifier (example: 76), put it in the second position.
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3. Special note: If you have more than one statistical or informational modifier, it doesn’t matter how you order them.
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4. More than 4 modifiers? Append 99 after the CPT code and use Box 19 on the CMS 1500 form to list the modifiers in the correct ranking order, and to indicate which CPT code they are to.
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I hope this helps.
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Best,
Leesa
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Leesa A. Israel, BA, CPC, CUC, CMBS
Executive Editor, The Coding Institute
Manager, TCI Consulting & Revenue Cycle Solutions
Home office: (866) 458-2973
Email: leesai@codinginstitute.com
www.codinginstitute.com

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