Wiki Billing for 63040 and 63043 x 3 append modifier 50 ?

kguzikowski

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Muskego, Wisconsin
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1. Provider performed, 63040-Posterior bilateral repeat level C5-C6, foramiontomies CPT code 63040 with modifier 50

2. Posterior repeat bilateral level C6-7, level C7-T1 and level T1-T2 formaminotmies CPT code 63043 x 3 units with modifier.

Question being debated appropriate way to bill this scenario.

63040-50
63043-50, 59
63043-50, 59
63043-50, 59

OR

63040-50
63043x 3 units
63043-x3 units with modifier 59

Patient has Medicare, Will the MUE of only 4 units per day play into the scenario?
Appreciate feedback.
 
From the information given I would assume:

63040-50
63043-50 x2
64999 (The add-on code 63043 is for "each additional cervical interspace.")
 
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