modifier 51 question - I work in dermatology

mjl903

Networker
Local Chapter Officer
Messages
52
Best answers
0
I work in dermatology. Our doctor performed an intralesional injection (cpt 11900) of kenlog to two different sites: the scalp for Alopecia and neck for folliculitis. Do I use the modifier 51 because it is two different sites?
11900
11900 - 51

or should I code 11900 x 2 ?

or no modifier at all...
 

mitchellde

True Blue
Messages
13,418
Location
Columbia, MO
Best answers
1
you need the 59 to identify same procedure at a separate site, then depending on payer you might need the 51 as a second modifier to indicate bioth performed in the same sesion. So
11900
11900 59 51
 

mjl903

Networker
Local Chapter Officer
Messages
52
Best answers
0
that makes senxe now that I reread the modifier description, thank you!:)
 

Ahamed Fahath

Contributor
Messages
22
Best answers
0
Yeah, We cannot bill 11900 twice with any modifier as we should bill only once the 11900 for upto and including 7 lesions.
 
Top