Help with Coding Right Hemi & Sm.Bowel Resect

Hopp

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Just wondering if someone could please help with coding
Right hemicolectomy 44160 and Small bowel resection 44120
Very confused with how you actually determine which procedure gets the 59 modifier I do have the general surgery companion book and I also have encoder pro. I went onto Highmarks Medicare site and it looks to me like the 44120 is the column 2 procedure. (Does the code always with the lower RVU get the modifier) Please help
Thanks
Debbie, CPC-A
 

crhunt78

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Yes, the code with the lower RVU should get the 59 modifier. I think you are right, use the modifier with the 44120 code.
 

cmartin

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Yes, I was told at a seminar, I'm almost certain by Deb Grider, that the -59 always goes on the column two code, altho I was never able to find that stated in the CCI.
C.Martin
CPC-GENSG
 
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