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Wiki Debridement

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LindaA

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I have an MD who likes to do debridements more than once a day. Is it best to put a mod 59 on the second tx? This is concerning both Medicare and private ins's.
 
If you are billing a distinct procedure unassociated with the original, you should bill the 59. However, if the procedure is related, you can bill a modifier 76 - Repeat procedure or service by the same physician. Either review the modifiers at the front (summary) or in Appendix A of your CPT book. These codes are typically acceptable by all insurance.
 
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