Results 1 to 5 of 5

51/59 Clarification PLEASE!!!!!

  1. Default 51/59 Clarification PLEASE!!!!!
    Exam Training Packages
    My office is in desparate need of the whole 51/59 modifiers. We know what they mean but if we have a Doctor that performs 29881 and 29879, do we use 51 or 59 if it is that same knee. The codes are not in CCI. Thanks!

  2. #2
    Columbia, MO
    If they are not bundled then use the 51 to indicated the procedures were performed at the same time. You will not need the 59 because it is already recognized that by definition the procedures are distinct and separate.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    Just want to make sure I have this right. We should use a 51 in this case but we would use the 59 if the surgery involved a knee scope AND and shoulder scope? This is so fustrating

  4. #4
    Columbia, MO
    no because the knee scope will state knee and the shoulder scope will state shoulder so by definition the scopes are in two separate areas and need no further distinction to make them separate.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    High Point, NC
    Try to think of modifier 59 as the "unbundling" modifier. You only need to use this modifier when you need to "unbundle" procedures that are bundled per CCI edits. Just make sure your documentation supports the unbundling.

    Hope this helps.
    Cindy Gallimore, CPC, CENTC

Similar Threads

  1. Clarification
    By TracyHecox in forum Outpatient Facilities
    Replies: 0
    Last Post: 07-12-2012, 01:15 PM
  2. need clarification
    By kathy073 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 10-06-2010, 03:30 PM
  3. Need clarification
    By KristieStokesCPC in forum EMR/EHR Systems
    Replies: 3
    Last Post: 03-05-2009, 12:44 PM
  4. Need Clarification Please!
    By dcarr in forum Behavioral Health
    Replies: 1
    Last Post: 01-23-2009, 08:04 AM
  5. Need clarification.
    By prem_ponnuru in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 12-09-2008, 11:02 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.