Wiki Are we able to append modifier 59 if skin substitute and application is billed with E/M

[mayra.zambrano]

I work for a wound care clinic that often bills skins substitutes on the same date as an evaluation or other E/M codes. So I would like to know the proper way to bill this. Should we bill 992**-modifier 25, Q41**- modifier 59 and application 152**- modifier 59. Is this the correct way to bill this?

 

[cferrier27]

I would use the modifier 25 on the E/M level and I would not use the modifier 59 on the application code or supply code. Also you will only be able to bill the E/M level on the first visit for any other visits it will only be the skin graft application with the supply code