Results 1 to 3 of 3

Modifier for Dermatology Excisions and Repairs being billed together

  1. Question Modifier for Dermatology Excisions and Repairs being billed together
    New Call-to-action
    As a general rule, and I correct in using -51 on the Excision code when both procedures are billed together in the same visit? Or should it be -59? I've been told either, but that doesn't seem correct. Thanks for your help!!

  2. #2
    Default
    The modifiers should not be interchangeable. If the two procedures bundle, determine if they were done for the same site; in this case you would not bill both charges. If the procedures bundle but are at different sites you should be able to append a modifier (59 or XS) to indicate why they are each separately payable. If the procedures do not bundle, you can put the 51 modifier with the secondary procedure (although it isn't needed if the second code is an add-on code).

  3. #3
    Default excisions with repairs
    The only time I put a -51 on either code was if it was a Medicare claim and my claim scrubber needed it. The repair code is usually the higher RVU so that should go first then the excision code. If it is the same location, (and it doesn't fall under the "simple" repair category) you shouldn't need 51 or 59 on either code. If you are doing multiple locations in one surgical setting then you would need the 59 modifier.

Similar Threads

  1. Excisions, Repairs, and "separately reported"
    By DarcillaO in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 02-15-2012, 07:08 PM
  2. Coding Excisions and repairs-Please help
    By bethh05 in forum Outpatient Facilities
    Replies: 2
    Last Post: 02-22-2010, 04:09 PM
  3. Which modifier for ectropian/entropion repairs?
    By Justarose in forum Outpatient Facilities
    Replies: 1
    Last Post: 02-15-2010, 11:43 AM
  4. dermatology and dermatopathology billed together
    By trklein in forum Dermatology
    Replies: 0
    Last Post: 12-16-2009, 05:03 AM
  5. Modifier 59 for wart excisions?
    By Alta in forum Dermatology
    Replies: 2
    Last Post: 05-08-2009, 06:55 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?

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.