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modifier 51

  1. #1
    Post modifier 51
    Medical Coding Books
    Okay, for an internal medicine office the common modifiers we use are -25 & -59, sometimes -76. Today I was entering charges and a patient who came in on Friday was in for a physical and a couple other issues too... which is where my question comes in but I will provide the example below of what was filled out & coded on the encounter form, all done by the same physician within the one visit...


    physical 99396, add -25
    ekg 93000
    cerumen removal 69210, add -59
    pft 94010 ??? modifier on the pft ???
    blood glucose 82962

    my question is, should we add the modifier -51 to the PFT (as multiple procedures by the same physician) or is there a different modifier that anyone thinks may work.. I mean we are getting paid for the PFT but just asking? any opinions, let me know?


  2. #2
    Greeley, Colorado
    Per CCI edits the only code requiring a modifier is 93000-59.
    Lisa Bledsoe, CPC, CPMA

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