hELP PLEASE- NEW CODER!

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Can you code a bipsy- 58100- and endocervical curettage-57505- together? I put a 51 mod on 57505 and it was denied inclusive. What do you think?

Thank you

Deidra
CPC-A
 

ciphermed

Guru
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The code pair you listed below (57505 & 58100) generates a non-modifiable CCI edit for both the physician and facility billing; they should not be reported together. If both were performed and documented only 57505 would be reported.
 

pamtienter

Expert
NAB Member
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Mound, MN
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If the codes had a CCI edit that allowed a modifier override, modifier 59 would be the one to use instead of modifier 51. The 51 modifier is informational only for multiple procedures.
 
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