Modifiers

dubrovin

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Provider billed
E/M visit 99243-25;
Laryngoscopy 31579-59,
Laryngeal functions studies, 92520
I am confused about the modifiers.
Shouldn't the procedures be billed with modifier 51?
I am so rusty and really need help asap. Thank you for your time.
 
Last edited:

bethb

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Pittsburgh Central Pennsylvania
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There is not a need to use a -51 modifier since only one "surgical" procedure (31579) is being billed. However, you may want to check your CCI edits for billing 31579 and 92520 together. I am showing 92520 is a component of 31579.

Hope this helps:eek:
 
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