CPT 27059

[eccm7862]

Humana is stating that CPT 27059 needs an anatomical modifier added. The tumor was centrally located in the abdomen. Would it be appropriate to bill this with modifier 50 since the OP note does not state specifically RT or LT?

 

[ljsingleton303]

CPT 27059 is for the pelvis and hip area and this requires the LT or RT modifier. If the tumor was excised from the abdomen, then review your op note and possibly select a different CPT code from the 22900 to 22905 series.