Results 1 to 4 of 4

Modifier 51

  1. #1
    Default Modifier 51
    New Call-to-action
    When should you use modifier 51? The description in he CPT book just isn't making sense to me so if anyone has examples that would be great, thank you.

  2. #2
    Default Modifier -51
    Hi, tawneymurphy

    I am trying to find the MLN that I used to have long time ago from Medicare stating that they prefer this modifier not be used in the claims. I have not used this modifier in over 13 years. Now I am in a new job and I am trying to find the documentation to substantiate this but I have not been able to find it in CMS website. If someone knows where I can find it please let me know.

    Thank you

  3. Cool Modifier 51

    Hope the below info helps!!!

    Modifier 51 Multiple Procedures

    Modifier 51 designates multiple procedures that are rendered at the same operative session or on the same day. Modifier -51 (multiple procedures) must be used to indicate instances when multiple procedures, other than E/M services, physical medicine and rehabilitation services, or provision of supplies (e.g., vaccines), are performed at the same session by the same provider.

    The medical records must clearly support the appropriate use of Modifier 51 (multiple procedures).

    Inappropriate Usage

    Modifier 51 appended to designated “add-on” codes.

    Reporting on primary procedures and on base endoscopy procedures

    Reporting to Evaluation and Management (E&M) CPT codes

    Reporting to Physical Medicine and Rehabilitation services or provision of supplies (eg.vaccines)

    Appending Modifier 51 to a CPT-4 designated Modifier 51 Exempt procedure code

    Appending Modifier 51 to procedures that are considered components of the primary procedure

    Appending Modifier 51 in instances when two or more physicians each perform distinctly different, unrelated surgeries on the same day for the same individual

    Appending Modifier 51 when a more appropriate modifier exists to more accurately describe the scenario being reported.

    Kokila Venkatesan CPC-A

  4. #4
    Thank you all for help

Similar Threads

  1. Replies: 3
    Last Post: 03-01-2017, 06:39 AM
  2. Replies: 1
    Last Post: 07-19-2016, 04:04 PM
  3. Replies: 2
    Last Post: 09-18-2015, 01:17 PM
  4. modifier question - Is there a qualifying circumstance modifier
    By in forum Anesthesia
    Replies: 1
    Last Post: 11-13-2013, 10:53 AM
  5. Replies: 0
    Last Post: 01-29-2008, 10:49 AM

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?


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.