Pulmonology Coding Alert

Find out which modifier Medicare prefers you not use. Many coders often find themselves in a tight spot when coding multiple procedures on a given date. Whether the second code should take a modifier 51 or 59 consumes a huge part of their dilemma. CPT states that the second code would take a modifier 51 if the classifications are different, but what about if the anatomic groups are different?Don't pull your hair out just yet if you're faced with the same problem. The following do's and don'ts should guide you on the correct usage.Do: Reserve Modifier 51 For Specific Procedures Only -- But Never For MedicareWhen you use a modifier, you wave a flag to the insurance company advising them that the service you're reporting is different. Each modifier's purpose is to tell a specific story that will redefine your service.Appending modifier 51 (Multiple procedures) to the second or third procedure [...]