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Wiki GImodifier

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BillingS01

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Hello,
I have a question regarding a colonoscopy billed with an upper endoscopy in the same operative session. Modifier 59 is not needed when these two procedures are billed together? and would a modifier 51 be necessary as multiple procedures?
Thank you very much.
 
you do not need a 59 as the descriptor inherent in the code indicates separate and distinct. in other words you may not use a colonoscopic approach to examine the esophagus. However depending on payer an 51 may be required.
 
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