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Catherine Posted Thu 26th of October, 2017 12:24:58 PM
When using a 92504 to look at a patient's ear then also doing a 31231 to look at the sinuses or a 31575 to view the larynx is it necessary to use a 59 modifier? I think no as the ICD10 attached to the scopes are for two completely different areas and that should tell the situation. Am I wrong on this?
SuperCoder Answered Fri 27th of October, 2017 01:57:09 AM

HELLO

According to above scenario and as per NCCI edits, no modifier is required with CPT code 92504. But deciding on other two CPTs (31575 and 31231), if nasal endoscopy is performed with the same endoscope utilized for the laryngoscopy, then you never ever report endoscopy (separate procedure) with modifier-59, only you should report 31575. And if the scopes are different, means, nasal endoscope with layngoscope, then of course, you should use modifier-59. It completely depends upon the documentation. You may also refer to the following link for further information:

https://www.supercoder.com/coding-newsletters/my-otolaryngology-coding-alert/reader-question-meet-these-criteria-before-reporting-31231-with-31575-151615-article

HOPE THIS HELPS

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