tci Part B Insider - 2009 Issue 13

READER QUESTION: Use This Modifier 51 Advice When Billing Medicare Carriers

Most carriers computer systems automatically apply the modifier 51 discount when applicable. Question: In the past, I used modifier 51 often, but now Im unsure about when it is required. Do some carriers no longer accept it? Answer: Including modifier 51 (Multiple procedures) on certain claims may not be necessary for all insurers. Many carriers no longer require modifier 51. Processing claims electronically allows the carrier to recognize when your physician performs multiple procedures and automatically make the necessary reduction in payment. Remember to always list the highest-paying procedure code first. Tip: Make a pre-emptive strike against denials by...

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