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Modifiers - outpatient surgery center

  1. Question Modifiers - outpatient surgery center
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    Hi
    I need help with modifiers for outpatient surgery center: three patients.

    1. DX: RT shoulder 727.00, 840.7, 726.2, 715.91

    CPT: 29827
    29807
    29826
    29824
    29820
    23700

    Which modifier I should use?


    2. DX: 374.10 (Ectopion, both lower eyelids), 709.2 (Scar tissue, LT ear).

    CPT: 14060-LT-59
    15821-E2-E4-50
    67917-E2-E4-50

    Did I use the correct modifiers? Any suggestion.

    3. DX: 527.2 (RT submandibular sialadenitis), 701.9 (multiple skin tags RT upper eyelid), 784.49 (hoarseness).

    CPT: 42330-59
    31515
    11200-E3

    Do I need modifier for 31515 Procedure?

    Thank you so much.

    Pragna

  2. #2
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    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I'll respond referencing the shoulder case only.

    You've got several codes that bundle there that are not reportable. Please check your CCI edits (29820, 23700).

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