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RHFMC MODIFIER 51

Chuck Posted Mon 03rd of March, 2014 13:48:09 PM

For claims with multiple procedures, do you use modifier 51 for all items or just selected ones? Is the example below correct? Is modifier 50 appropriate for CPT 20600 (one unit)?

99213-25 (office visit)
36415-51 (blood draw)
99000-51 (specimen handling)
20600-50 (arthrocentesis)
J1100-51 (injection)
85651-51 (lab)

Thank you!

SuperCoder Answered Wed 05th of March, 2014 19:50:15 PM

Multiple Procedures: When multiple procedures, other than E/M services,Physical Medicine and Rehabilitation service or provision of supplies (e.g. vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. The additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). Note: This modifier should not be appended to designated “add-on” codes (see Appendix D of CPT book).

I agree with your set of codes.

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