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Modifier 51 help!!!!!!!

  1. #11
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Exam Training Packages
    Thanks so much for clarifying.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. #12
    Default Modifier 50 or 51
    Ok if I am billing a bilateral joint injections(20610), and they are being billed as two line items with a 50 modifier on one of them. Is this not the correct way to bill them, because Medicare denies the one with the modifier stating. Missing/incomplete/invalid days or units of service. What would you suggest. Thanks

  3. #13
    Default
    That is not the correct way to bill them. Bilateral joint injections would be billed like this:

    20610-50

    or

    20610-RT
    20610-LT,59
    Walker Bachman, CPC, CPPM

  4. #14
    Default 20610-50
    Thanks for the information. Do you know which one would work better when billing Medicare?

  5. #15
    Default
    I would use 20610-50 unless your carrier specifically tells you do it another way.
    Walker Bachman, CPC, CPPM

  6. #16
    Default
    Thanks again you have been very helpful.

  7. #17
    Default
    You're welcome!
    Walker Bachman, CPC, CPPM

  8. Default modifier 51
    the doc did four level cerival facet blocks. workermen cpt codes 64440 and 64441.. do I use 64441 twice with a 51 on each level..expla: 64440(c2-3), 64441(c4-5), 64441-51(c5-6),64441-51(c6-7) 76003.. is this correct? thanks

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