MATHEODO
Contributor
According to the 2012 CPT if wound repair is accomplished using multiple classifications (simple, intermediate, complex) you use modifier 59. This is a pretty big change from previous years.
The question is….what if you are not using different classification, just different anatomic groupings with in the same classification? For example: 12004 for a 7.8 simple repair of the trunk and a 12013 5.2 simple repair of the face...Would we use modifier 59 or continue to use 51 since the classification didn't change, just the anatomical grouping changed?
The question is….what if you are not using different classification, just different anatomic groupings with in the same classification? For example: 12004 for a 7.8 simple repair of the trunk and a 12013 5.2 simple repair of the face...Would we use modifier 59 or continue to use 51 since the classification didn't change, just the anatomical grouping changed?