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denial due to modifier

  1. #1
    Worcester Ma #50805
    Default denial due to modifier
    Clearnace Sale
    md. does debridement cpt 11042 on right foot does cpt 11041 on left foot I added a 50 modifier but it was denied because I need a distinct procedural modifier an not a multiple procedure modifier but I still don't understand why. how can i indicate that the debridments are on two different feet

  2. #2
    use L & R modifiers:

    11042 - RT
    11041 - LT

    Or you can use a -59

    11041 - 59
    Walker Bachman, CPC, CPPM

  3. #3
    South Bend
    50 modifier is only used on the same CPT code and that code needs to be considered a unilateral procedure.

  4. Default
    Technically this is being done to the skin and not to the feet. Therefore a 59 modifier is the best one to use with this senario.

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