mmunoz21
Networker
Hi,
By description this code is for EACH quadrant...the provider billed it like this: 41874, 41874-59, 41874-59 (3 quadrants).... This are indeed done in different quadrants of the mouth... however; this is is a status 2 indicator procedure where modifier 51 will apply....
The dilema: are the different quadrants considered different anatomic sites, or is the Mouth considered the 1 anatomic site? which modifier would you use?????????
By description this code is for EACH quadrant...the provider billed it like this: 41874, 41874-59, 41874-59 (3 quadrants).... This are indeed done in different quadrants of the mouth... however; this is is a status 2 indicator procedure where modifier 51 will apply....
The dilema: are the different quadrants considered different anatomic sites, or is the Mouth considered the 1 anatomic site? which modifier would you use?????????