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G0461 X 2 - 59 modifier used?

  1. #1
    Default G0461 X 2 - 59 modifier used?
    Medical Coding Books
    When we have two specimens and an immuno is done on each, we can code G0461 for each specimen. Do you code this as:

    G0461 X 2

    or

    G0461
    G0461 -59

    I do coding, not billing. I have not been using a 59 modifier on the second G0461 and have not heard of any denials from our billing office. But, the question was raised today which is correct.

    Thanks!

  2. #2
    Location
    Fayetteville,AR
    Posts
    68
    Default
    I code G0461 x 2.

  3. #3
    Default G0461
    Hi
    We code it with quantity only without the 59 modifier.
    Thanks,
    Dana Chock, CPC, CCA, CANPC, CHONC, CPMA
    Anesthesia, Pathology, and Laboratory Coder

  4. #4
    Default
    You can code the first unit as G0461, any additionals on a separate line, with the -59 modifier.

    Ex: for two units, use G0461, G0461 -59.
    for three units, us G0461, G0461 x2 -59.

  5. #5
    Default
    Well...I guess this becomes a moot point with these G-codes disappearing in 2015.

    http://pathologyblawg.com/pathology-...s-final-rules/

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