DecisionHealth, DecisionHealth - 2012 Issue 10 (October)

Ask a Part B News expert: Modifier 59

Can you bill with modifier 59 (Distinct procedure) for a rotator cuff repair (29827) with the limited debridement (29822) of the labrum located in another area on the same shoulder? Or do you bundle the debridement with the procedure because it’s on the same side as the original operation? Or is it more appropriate to append modifier 59 to the debridement because it was performed on a separate area of the shoulder?

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