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58563 Essure Sterilization

  1. #1
    Default 58563 Essure Sterilization
    Exam Training Packages
    Is anyone doing this in their office? If so, is anyone using a modifier on the cpt code?

    Rhonda Green, CPC

  2. #2
    Default Essure
    Hi Rhonda,

    We do them all of the time. My understanding is you do not need modifier unless you only do one tube.


  3. #3
    The reps are saying that we need to use a modifier 47 to show we are doing in our office, but we are not applying any anesthesia. Do you find that you get paid more for doing it in the office than outpatient? Are they recognizing POS "office"?
    Rhonda Green, CPC

  4. Default
    We have done these in our office and billed without the modifier and received payment with no problems. You def get paid more in office than at hospital or surgery center.

  5. #5
    I have done thers at a former practice and we needed no modifier.

  6. #6
    Rhonda Green, CPC

  7. #7
    Greeley, Colorado
    Beware of what the "reps" say. It is not always accurate information...afterall, are they coders?
    Lisa Bledsoe, CPC, CPMA

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