Modifier Coding Alert
Rely on Code Descriptors, Then Attach Modifier 50
PDF
Question: I have a physician who removed both the tube and ovary on one side and on the other side only removed the tube. In order for me to use modifier 50, do both bilateral procedures have to be identical?
Colorado Subscriber
Answer: The answer depends on the code descriptor. CPT® code 58661 (Laparoscopy, surgical; with removal of adnexal structures [partial or total oophorectomy and/or salpingectomy]) is for a complete or partial removal so your physician can do a complete on one side and partial on the other and still code with modifier 50 (Bilateral procedure).
Beware: Some payers don’t require modifier 50. They think that because the descriptor of the code says “and/or,” meaning all could be removed or only partial be removed, a modifier would not be necessary.
Modifier Coding Alert
- Modifier Madness:
Curb Your Screening Denials Using Modifier 33
Some payers accept 33, while others won’t. If your practice sees patients for preventive services, [...] - ICD-10:
Have No Fear with Future Appendicitis Codes
The ‘other’ appendicitis codes are expanded and more precise. If coding appendicitis is commonplace for [...] - Modifier Partners:
Use GC to Recoup Resident Charges
You might get paid even when your physician is not with her resident performing services. [...] - Multi-Use Modifier:
Untangle Modifier 52 and 53 to Bring in Deserved Dollars
Never use modifier 53 when patient elects to stop the procedure. When your provider stops [...] - Reader Question:
Rely on Code Descriptors, Then Attach Modifier 50
Question: I have a physician who removed both the tube and ovary on one side and [...] - Reader Question:
Shelf Modifier GW When Not Hospice-Related
Question: My physician has an established 85-year-old patient who lives at home and has recently been [...] - Reader Question:
Be Sure There's One Practice with 77
Question: A patient came in this week to see our otolaryngologist. The doctor treated the patient [...] - Reader Question:
Pick Modifier 24 with Unrelated E/M
Question: One of my physicians’ patients came into our office for a follow-up visit related to [...] - You Be the Coder:
Modify Anesthesia Services From AA to QY
Question: When would you use modifiers AA, AD, QY, and QK? I don’t understand their purpose. [...]