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MULTIPLE CPT CODES FOR SURGERY

Vera Posted Tue 08th of January, 2013 19:04:27 PM

If there are multiple CPT codes for a surgery, what modifiers would you use after the first 59? for example 29286 RT THEN 28110.RT.59, THENNNNN 28045 AND ALSO 20605, My understanding is that Medicare, along with many other insurance companies, do not recognize the 51 anymore ? so do you keep using a 59 ? or 59 and 51 ?

SuperCoder Answered Wed 09th of January, 2013 19:26:49 PM

I believe its 28296 and not 29286.

As far the above example is concerned all the four codes do not bundle with each other.So no 59 in this case.

Yes you are correct Medicare, along with many other insurance companies, do not recognize the 51 anymore. Check with the payor if they allow use of Modifier 51. Yes if bundling goes along with the multiple codes, the use of Modifier 59 is justified.

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