saraandrews
New
When does an ASC append the modifier 51? From my understanding over the last 13 years Modifier 51 is not on the ASC list. Therefore I have never used it. Molina is stating they processed some of our claims incorrectly not using the multiple surgery rule resulting in overpayment. They are stating that I am supposed to use the Modifier 51. I have no idea when to use it or what CPT codes to use it on. For example these are the codes I would normally code.
30520
21026
30930
31231
Can anyone tell me which of these codes would require a 51 modifier?
Also, maybe some articles that either show ASC's aren't required to use it or articles that show when and how to use it in ASC coding.
Thank you,
Brenda
30520
21026
30930
31231
Can anyone tell me which of these codes would require a 51 modifier?
Also, maybe some articles that either show ASC's aren't required to use it or articles that show when and how to use it in ASC coding.
Thank you,
Brenda