Question Coding toe procedures

lburgos31

Networker
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If we are performing implant arthoplasties on the 1st and 2nd toe and interphalangeal fusions on the 3rd and 4th, can we use 59 or XS on each toe? Or would we have to use 51?
 

Orthocoderpgu

True Blue
Local Chapter Officer
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964
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Salt Lake City, UT
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-51 just states it's an additional procedure. All but the highest RVU procedure is going to have a -51 unless it's Medicare which does not use -51. If the payer is Medicare you will use the -XS modifier to show the procedures were performed on separate toes. If the payer is not Medicare, -59.
 
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