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Multi Mods used for surgery?

  1. Question Multi Mods used for surgery?
    Medical Coding Books
    When I was coming across other patient accts, I noticied one patient was billed the following: 52353- RT,52352 51-50, and a 52005 51-LT,76000-26
    I am taking my CPC course now, and I didnt know the exact answer. Can a 51 mod be billed w/RT or LT mod? Also which would come first? Also w/50 can a 51 mod be billed too? Also which would come first 51 or 50
    I of course did not post this charge, and just wanted some input


  2. #2
    Columbia, MO
    First check for bundleing, then put first the modifer that will adjusicate the reimbursement the most first. the 50 is the one that ids the procedure for bilateral for 150% reimbursement, so it would go first, the Lt, RT, or 59 or the ones that id a specific body area or separate body area for additional reimbursement or to unbundle so they would go before a 51. The 51 modifier only indicates that the procedure it is attached to was performed in the same session as the previous procedure.

    Debra A. Mitchell, MSPH, CPC-H

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