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OB/GYN Modifiers

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Cjones316

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Shepherdsvlle, KY
I just started coding OB today and need some help with modifiers, particularly the 59. When we are billing out for multiple CPT's (ex: 76805,76819, 76825) do we put a 59 on all procedures after the first listed? Please help!!
 
We use the modifier 59 when we do an abdominal ultrasound with a transvaginal ultrasound. for example. 76856 and then 76830 with modifier 59. If you are just billing for a 76817 (an ob ultrasound) I would use an E&M code if the patient is being seen for an evaluation and put a 25 modifer on that code then bill for the ob ultrasound. I hope that helps.
 
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