Page 2 of 2 FirstFirst 12
Results 11 to 14 of 14

Modifiers -59 vs -50

  1. #11
    Location
    Iowa City, IA
    Posts
    18
    Default
    Exam Training Packages
    we have tried billing on 2 lines and 1 with a 59 mod
    we have also tried billing on 2 lines and 1 w/ a -51,LT mod & the other w/ just the RT
    Is this CPT 21390 considered a bilateral already?

  2. #12
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    well, after a bit more research on the actual procedure itself - it does appear (at least to me) that there isn't a RT/LT or "bilateral" to this procedure - it is simply - the orbital floor (periorbital).
    If I were you, I'd ask the surgeon exactly what it was, just to be sure that it isn't a RT/LT/50 procedure.

    The description of the 21390 does not say bilateral (I'm thinking because there isn't a bilateral periorbital floor)
    Donna, CPC, CPC-H

  3. #13
    Location
    Pittsburgh Central
    Posts
    75
    Default
    I've always billed with a 59:

    21390-RT
    21390-59,LT

    Some insurers will deny but pay after I send a written appeal with the OP note.

    I recently attended a Medicare webinar on modifiers (I'm in PA) & they suggested using the 76 modifier:

    21390-RT
    21390-76,LT

    I haven't tried this yet so I don't have any experience with payment in this situation.

  4. #14
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    linda, when you find the answer - could you let me know what it is! ! I'd sure appreciate it.
    thanks!
    Donna, CPC, CPC-H

Page 2 of 2 FirstFirst 12

Similar Threads

  1. Modifiers - injection code
    By ryleeq92 in forum General Discussion
    Replies: 2
    Last Post: 03-17-2015, 10:51 AM
  2. Two Modifiers, Which goes first
    By Candice_Fenildo in forum Modifiers
    Replies: 3
    Last Post: 12-27-2013, 04:11 PM
  3. Modifiers -51 and -25
    By hthompson in forum Modifiers
    Replies: 5
    Last Post: 11-02-2011, 01:11 PM
  4. Q modifiers
    By PLAIDMAN in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-27-2010, 06:01 AM
  5. IR modifiers
    By carriebeth in forum Interventional Radiology
    Replies: 1
    Last Post: 06-11-2009, 12:44 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.