Maarit Posted Thu 24th of February, 2011 02:22:10 AM
If several benign lesions were removed from the trunk on the same day, would I use
A) mod. -51, if the lesions were different size: 11406, 11403 -51, 11401 -51
B) mod. -59 if they were same size: 11401, 11401 -59, 11401 -59
C) mod. -51, if they were same size, but different anatomical region: 11440, 11400 -51
Some older Super coder articles suggest the use of both modifiers per code. Is that an outdated practice?
SuperCoder Answered Fri 25th of February, 2011 06:00:34 AM
The criteria that you mentioned is correct. But, it is difficult to question the usage of both modifiers.
I have found coders often resort to using both for sake reimbursement and sometimes resort to concept what you have mentioned.n
This contradictory practice happened out of too many rejection issues involved in skin lesion removal coding practice. After all, it is your payer who is going to decide what coding practice you are going to adopt as none of them questionable.