Hello Everybody, I have a dilemma. We usually bill for a Brain MRI with and without contrast 70553 and for a Brain MRA w/o contrast 70544 on the same day of service. According to Medicare under NCCI edits, I can unbundle these services, however, I am not sure If I can use modifier 59? 25? or 51? I thought I could use modifier "59", however Noridian JE Part B aka (Medicare) does not even have modifier 59 listed! Does anyone knows if it is appropriate to use modifier 59 to unbundle those two services????-
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Wiki Modifier 59 for 70553 and 70544
- Thread starter Openmri1
- Start date
Hello Everybody, I have a dilemma. We usually bill for a Brain MRI with and without contrast 70553 and for a Brain MRA w/o contrast 70544 on the same day of service. According to Medicare under NCCI edits, I can unbundle these services, however, I am not sure If I can use modifier 59? 25? or 51? I thought I could use modifier "59", however Noridian JE Part B aka (Medicare) does not even have modifier 59 listed! Does anyone knows if it is appropriate to use modifier 59 to unbundle those two services????MarcusM
Expert
Hi Polycoder, this is what I found in Noridian and modifier "59" is not listed
https://med.noridianmedicare.com/web/jeb/topics/modifiers
We use 70544-59 anytime we have to bill this combination.
KPhares
Lead Coder
Xray Associates of NM