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Modifer 59

  1. #1
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    NEW ORLEANS
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    Default Modifer 59
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    Is modifer 59 approciate in this case ;

    say cpt codes are
    29826 RT
    29827 RT
    29823 RT

    would you bill mod 59 on these cases ?
    OR
    42830
    69436 -50
    would you bill mod 59

    The reason why I ask, some doc told me we can, I always thought you could not,
    Last edited by codedog; 04-28-2010 at 12:46 PM.

  2. Default
    Quote Originally Posted by trent123 View Post
    Is modifer 59 approciate in this case ;

    say cpt codes are
    29826 RT
    29827 RT
    29823 RT

    would you bill mod 59 on these cases ?
    OR
    42830
    69436 -50
    would you bill mod 59

    The reason why I ask, some doc told me we can, I always thought you could not,
    I'm not familiar with the 2nd set of codes, but the 1st set I use alot. If the extensive debridement is supported well in documentation then yes, absolutely add -59 to the 29823 to unbundle from 29827.
    Jenna

  3. #3
    Location
    NEW ORLEANS
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    954
    Default
    but for 29827 you would not , right?

  4. Default
    Quote Originally Posted by trent123 View Post
    but for 29827 you would not , right?
    Correct, 29827 doesn't bundle into 29826 nor 29823 so no -59 needed on that.

  5. #5
    Location
    NEW ORLEANS
    Posts
    954
    Default
    thanks

  6. Default
    no 59 needed for either case

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