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WHICH MODIFIER TO USE???

kim. Posted Wed 07th of January, 2015 14:01:02 PM

IF AN XRAY OF THE SKULL IS DONE PRIOR TO AN MRI FOR BRAIN SHUNT VALVE SETTING AND THEN ANOTHER SKULL XRAY IS DONE AFTER THE MRI AGAIN FOR BRAIN SHUNT VALVE SETTING, WOULD YOU APPEND A -51 MODIFIER TO THE SECOND SKULL XRAY CPT?

SuperCoder Answered Wed 07th of January, 2015 14:15:57 PM

You should use modifier 76 (Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional)in this circumstance.

For additional information regarding modifier 76 please see the following link.

https://www.supercoder.com/coding-newsletters/my-modifier-coding-alert/outpatient-modifiers-surprise-modifier-59-for-repeat-procedures-may-not-fly-142412-article

Hope this helps.

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