emmaginsberg
New
Hey everyone, I’m pretty stuck with these two modifiers and how to use them. I work at a ASC. And I have two patients with denied claims for lipoma removals.
First patient had 11 total removed.
24075 right upper arm x5 (D17.21 ICD)
24075 left upper arm x2 (D17.22 ICD)
25075 right forearm/wrist x2 (D17.21 ICD)
25075 left forearm/wrist x1 (D17.22 ICD)
25071 left forearm/wrist x1 (D17.22 ICD)
Second patient had 10 removed
25075 right forearm/wrist x7 (D17.21)
25075 left forearm/wrist x3 (D17.22)
All separate incisions are noted in op note.
We used modifier 59 then I tried mod 51 when the procedure went to a different side with 59 on the multiples of the same area. I hope that makes sense.
I’m at a loss how to get these corrected.
Thank you in advance
First patient had 11 total removed.
24075 right upper arm x5 (D17.21 ICD)
24075 left upper arm x2 (D17.22 ICD)
25075 right forearm/wrist x2 (D17.21 ICD)
25075 left forearm/wrist x1 (D17.22 ICD)
25071 left forearm/wrist x1 (D17.22 ICD)
Second patient had 10 removed
25075 right forearm/wrist x7 (D17.21)
25075 left forearm/wrist x3 (D17.22)
All separate incisions are noted in op note.
We used modifier 59 then I tried mod 51 when the procedure went to a different side with 59 on the multiples of the same area. I hope that makes sense.
I’m at a loss how to get these corrected.
Thank you in advance