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Billing Modifier 59 with 51

  1. #11
    Medical Coding Books
    Quote Originally Posted by mitchellde View Post
    I think it may have to do with thinking the second procedure has some relationship to the first one. Just look at it as two procedures and nothing else. Then if the second procedure is ordinarily thought of as a component of the first procedure or is mutually exclusive, then the 59 might apply. the fact that both were performed at the same setting may indicate the need for the 51. I agree you really do not need it when you have the 59 present but like you I know several that use both together. There is nothing wrong with that it just seems a little unnecessary.
    Thank you so much for your help. I think the result to this is, i need to stop over thinking it. Thank you again, you have been extremely helpful!


  2. #12
    Palm Beach county
    Smile 50715 with ?? miodifiers
    I have billed the 50715 with the 59 & 51 modifier few have paid. I recently read something on one of the threads about the 51 modifier being obsolete and using the 22 modifier to indicate excessive work performed.
    I've tried this a few times and been paid, so it may be worth investigating or if anyone has any input I would greatly appreciate it.
    I would also like to know if anyone knows how to bill the 50715 with the 59, 50, 22 ? Would the modifiers be in that order for the bilateral ??

    Thank guys are great!

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