exc x 3 same area

[Callieb]

I am so frustrated! Patient had 3 lipomas right buttocks. I coded 21931, 21930 - 59, 21930 - 59. Medicare is denying second 21930 as exact duplicate. Am I supposed to use units? or modifier 51? It seems I accidently coded units before on another patient and medicare didn't cover that. Welcome to Monday.

 

[mitchellde]

Did you try using the XS modifier instead of the 59?

 

[Callieb]

I had forgotten about the new modifiers. Think this might be the right instance to use it (unless anyone else has a better idea). Thanks

 

[Callieb]

Still not convinced on the XS modifier. It states seperate structure, or different anatomic site. All 3 lipomas were on the same cheek but seperate incisions. I guess since modifier 59 is what we used to use and they are not accepting it then I will try XS.

 

[ahansen]

Our Medicare provider wants us to use units. Also be sure to check the MUE list.