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Thread: multiple modifiers

  1. #21
    Join Date
    Apr 2007
    Location
    Baton Rouge
    Posts
    114

    Default

    Promo: Code Books
    Modifiers 51 and 59 should not be reported together. Modifier 59 already identifies the procedure as multiple.
    Chastity Nault, CPC
    HIM Professional Services Coder - Remote

  2. #22

    Default additional modifier question

    Is there any documentation that shows the order modifiers should be listed in that I can share with my office? ie: pricing, statistical, informational etc.

    I have read several forum responses but know one has sited their source? Help please if you know any reference material I can use!

    Thanks!

  3. #23
    Join Date
    Apr 2007
    Location
    Baton Rouge
    Posts
    114

    Default

    Yes. I am not able to upload the document so I copied and pasted it below.

    guidelines: order of modifiers
    ________________________________________
    CATEGORIES:
    1. PRICING modifiers (eg.,21, 22, 26, 50, 52, 53, 60, 62, 80, 82, P1-P6)

    2. PAYMENT Eligible Modifier* (eg. 24, 25, 51, 57, 58, 59, 76, 77, 78, 79, 91)
    (*presence communicates special situation that might otherwise not be paid
    without the modifier based on billing/coding principles and global surgery guidelines)

    3. LOCATION Modifiers E1-E4, FA, F1-F9, LC, LD, LT, RC, RT, TA, T1-T9

    ORDER OF REPORTING:

    - Pricing modifiers before payment modifiers and location modifiers EXCEPT when global surgery package involved, then report payment modifiers before pricing. Example modifier 78 and 62.
    - Payment eligible modifiers before location modifiers
    - Location modifiers are always last

    If you have two pricing modifiers, the most common scenario is likely to involve 26 and another modifier. Always add 26 before any other modifier.

    If you have two payment modifiers, a common one is 51 and 59, enter 59 in the first position. If 51 and 78, enter 78 in the first position.

    http://www.aapc.com/memberarea/forum...ad.php?t=17662
    Chastity Nault, CPC
    HIM Professional Services Coder - Remote

  4. #24

    Default Sequencing CPT Modifiers

    Hello!

    I found this VERY informative post and see it's from 2009; is this information still up-to-date for noting our manuals for 2015 certification exams?

    Thank you,
    Susannah


    Quote Originally Posted by luz.buenaventura View Post
    CATEGORIES:
    1. PRICING modifiers (eg.,21, 22, 26, 50, 52, 53, 60, 62, 80, 82, P1-P6)

    2. PAYMENT Eligible Modifier* (eg. 24, 25, 51, 57, 58, 59, 76, 77, 78, 79, 91)
    (*presence communicates special situation that might otherwise not be paid
    without the modifier based on billing/coding principles and global surgery guidelines)

    3. LOCATION Modifiers E1-E4, FA, F1-F9, LC, LD, LT, RC, RT, TA, T1-T9

    ORDER OF REPORTING:

    - Pricing modifiers before payment modifiers and location modifiers EXCEPT when global surgery package involved, then report payment modifiers before pricing. Example modifier 78 and 62.
    - Payment eligible modifiers before location modifiers
    - Location modifiers are always last

    If you have two pricing modifiers, the most common scenario is likely to involve 26 and another modifier. Always add 26 before any other modifier.

    If you have two payment modifiers, a common one is 51 and 59, enter 59 in the first position. If 51 and 78, enter 78 in the first position.


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