#learnwithdhanya #medicalcoding #medicalcodingtraining #cptmodifiers |Modifier -51
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#learnwithdhanya
#learnwithdhanya #medicalcoding #medicalcodingtraining #cptmodifiers |Modifier -51
MODIFIER 51
As mentioned earlier, modifier 51 is primarily put to work for physicians who bill surgical services. CPT guidelines explain the 51 modifier should apply when “multiple procedures, other than E/M services, are performed at the same session by the same individual. The additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s).”
In other words, modifier 51 reports that a physician performed two or more surgical services during one treatment session. The modifier would be applied to any secondary procedures performed. But with modifier 51, qualifications for the “primary” procedure code may be different from what you know about the use of other modifiers. To report the 51 modifier correctly, the coder should list the procedure with the highest RVU (highest paying) first, and use modifier 51 on the subsequent service(s) with lower RVU (lowest paying). Let’s get some clarification by reviewing examples of modifier 51 in use.
MODIFIER 51
As mentioned earlier, modifier 51 is primarily put to work for physicians who bill surgical services. CPT guidelines explain the 51 modifier should apply when “multiple procedures, other than E/M services, are performed at the same session by the same individual. The additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s).”
In other words, modifier 51 reports that a physician performed two or more surgical services during one treatment session. The modifier would be applied to any secondary procedures performed. But with modifier 51, qualifications for the “primary” procedure code may be different from what you know about the use of other modifiers. To report the 51 modifier correctly, the coder should list the procedure with the highest RVU (highest paying) first, and use modifier 51 on the subsequent service(s) with lower RVU (lowest paying). Let’s get some clarification by reviewing examples of modifier 51 in use.
2 سال پیش
در تاریخ 1401/05/29 منتشر شده
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