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Wiki injections with 59

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ebcarroll

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I have a questions regarding the modifier 59. Normally in billing a particular claim we would bill 64635, 64636, and 64636-59 for additional.


My question is XS modifier sufficient even though the injection is done on the spine but different disc?? Or should 51 be used in this case??

Please help!!
 
Coding Data Analyst CPC

Until further instruction on the X modifiers, in this case I would use modifier 59. This is still excepted. Modifier 51 should not be appended to add-on codes.
 
we normally do use the 59 modifier. However when billing Medicare they told us that the 59 modifier was invalid and other modifier should be used.
 
Yes, I would use the XS modifier since the code description for 64636 is stated as each additional facet joint. That would mean a different structure/site.
 
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