tci Part B Insider - 2004 Issue 43

Part B Coding Coach: Reporting Related Codes? Use Modifiers -59 and -51 to Keep Claims Clear

Append -59 to show separate sessions, sitesIf you're not up to speed on when to use modifiers -51 and -59, you could be losing out on many billing opportunities.Consider this: When a patient requires a partial and a total ethmoidectomy in the same session, do you report only one code? If the physician performs both a complex and a layered closure, do you automatically assume you can't report the closure? If you answered "yes" to either of these questions, you may not be taking advantage of all situations in which you can use modifiers -59 and -51. Modifier...

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