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ASC help

  1. #1
    Question ASC help
    Medical Coding Books
    Is SG modifier required for commercial payors for amubulatory surgical center billing. Also, can 51 modifier be used for multipe procedures or is it not necessary?

  2. Default
    Yes, -SG is needed after each CPT on ASC claim. I use -59-SG on the CPT's that I want to keep from bundling, but the only claims I need to use -51 on are our spine surgeries. All of our other ortho surgeries don't require the use of -51.

  3. #3
    Location
    Columbia, MO
    Posts
    12,531
    Default
    the 51 modifier is for physician use only, it is not designed for facility use.

  4. #4
    Default thanks
    Thank you...one more question, are left or right modifiers needed

  5. #5
    Location
    Columbia, MO
    Posts
    12,531
    Default
    If the procedure is performed on the left only or the right side only of a defined bilateral body part or organ. Remember skin is a continuous organ which has no laterality and you do not use LT, RT, or 50 for skin procedures.

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