• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Modifier 59 vs 76 - Pain management

Create Wiki
S

SarahT89

New
Messages
2
Best answers
0
Doctor I work for does a lot of RFAs and prior to my time at the practice someone was using -59 for every level after the first and I knew that was wrong for the second code but the 3rd and 4th level I was not sure, the current senior coder now recommends modifier -76 on 3rd and 4th level is appropriate but I've been reading articles saying -59 is appropriate from a few year ago from someone in AAPC. Just for my own clarification after the second level add on, which modifier should be used with levels 3 and 4 with add on codes 64634 and 64636?

Being a new hire out of college I wanted AAPC rules and guidelines on this for 2018 laws and proper modifier usage for my own journey forward.

Thanks!
 
Last edited:
When our docs do a 3 level RFA we will bill 64633 @ 1 unit, and then 64634 @ 2 units. We have not had an issue billing this way. We typically do not bill 4 levels as many times payers won't allow more than 3 levels per area/session. At least in my experience. Hope this helps!
 
You must log in or register to reply here.
Top