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Thread: Help with Coding Right Hemi & Sm.Bowel Resect

  1. #1

    Default Help with Coding Right Hemi & Sm.Bowel Resect

    AAPC: Back to School
    Just wondering if someone could please help with coding
    Right hemicolectomy 44160 and Small bowel resection 44120
    Very confused with how you actually determine which procedure gets the 59 modifier I do have the general surgery companion book and I also have encoder pro. I went onto Highmarks Medicare site and it looks to me like the 44120 is the column 2 procedure. (Does the code always with the lower RVU get the modifier) Please help
    Debbie, CPC-A

  2. #2
    Join Date
    Apr 2007
    Aurora, IL


    Yes, the code with the lower RVU should get the 59 modifier. I think you are right, use the modifier with the 44120 code.
    Chrissy, CPC

  3. #3


    Yes, I was told at a seminar, I'm almost certain by Deb Grider, that the -59 always goes on the column two code, altho I was never able to find that stated in the CCI.

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