rbassett
Contributor
If you add modifier 51 to a claim with multiple procedures to Medicare (yes, I know Medicare doesn't want you to use them, but say someone did), will Medicare reduce the payment of the additional procedures by putting into effect the Multiple Procedure Payment Reduction rules?
Example:
67228-RT = 100% payment
67028-51,LT = 50% payment
vs
67228-RT =100% payment
67028-LT =100% payment
I always thought modifier 51 was just an informational modifier that some insurances required and didn't trigger payment reductions, but I am being told differently.
Thanks in advance!
Example:
67228-RT = 100% payment
67028-51,LT = 50% payment
vs
67228-RT =100% payment
67028-LT =100% payment
I always thought modifier 51 was just an informational modifier that some insurances required and didn't trigger payment reductions, but I am being told differently.
Thanks in advance!