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Thread: 45380 and 45385 billing with 59 modifier

  1. #1
    Join Date
    Apr 2007

    Default 45380 and 45385 billing with 59 modifier

    AAPC: Back to School
    Has anyone had any luck getting paid when they bill the 45380 for removal of polyp using cold forceps and 45385 removal of polyp by snare technique using the 59 modifier?

  2. #2
    Join Date
    Apr 2007


    -59 goes on 45380.

  3. #3
    Join Date
    Apr 2007


    We have gotten paid but you need to make sure both procedures were performed at separate sites, then you can break the bundle with modifier 59.

  4. #4
    Join Date
    Apr 2007
    Kokomo, IN


    We have one insurance, I think it's cigna, that will not pay for more than one procedure at any given session. No problems with any of the other's with a 59 modifier. So Far anyway.
    Anna Weaver, CPC, CPMA, CEMC
    Associate Auditor

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