• 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..

Question Modifier 91 or 59

CXZook

Networker
Messages
29
Location
Greentown, IN
Best answers
0
The provider ordered 2 separate lab panels. Within both of those panels an ANA Antibody has resulted, CPT 86038. Therefore, we will charge 86038 x2, which exceeds MUE. Both specimens for both panels is blood collected at the same time during the same session. Which is the most appropriate modifier?
We are diving deeper into whether or not the provider truly needs both panels resulted, but for this question let's say both lab test panels are medically necessary per the provider.
 
Top