Wiki modifier 51 question - I work in dermatology

[mjl903]

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]

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]

that makes senxe now that I reread the modifier description, thank you!

 

[m.edwards]

11900 is intralesional injection ; up o and including 7 lesions. You should only be billing this once I would think.

 

[Ahamed Fahath]

Yeah, We cannot bill 11900 twice with any modifier as we should bill only once the 11900 for upto and including 7 lesions.