Total mastectomy Bi with Bilateral first-stage breast reconstruction with insertion of tissue expanders and use of acellular dermal matrix bilaterally

carol52

Guru
Messages
197
Location
Fayetteville, Arkansas
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Hello, this is a charge for Blue Cross
I coded this as below but my question is should the acellular dermal matrix bilateral +15777 have a 50 modifier added to it.
I am being told by the billing dept to add modifiers in this sequence
19303 LT
19303 50, RT
38900
38525 LT
19357 LT
19357 50. RT
+15777 Needs 50 modifier or no modifier ??
Thanks
Carol
 

NPSDEB

Networker
Messages
32
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Look at the guidelines for 15777. You do not use 50 modifier when it is related to breast procedures. You report it twice with RT & LT modifiers.
 

such78

Guru
Messages
215
Location
Baldwin Park, CA
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15777 - for bilateral procedure, report 15777 two times. do not use mod 50 in conjunction with 15777. Since it is an add-on code, should not use mod for it.
 
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