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modifier -51 multiple surgery

  1. #1
    Default modifier -51 multiple surgery
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    Hello - I have not hands-on coded surgery in a long, long time. I have 3 cases below that have been coded. Can someone look at them and tell me would you use a modifier -51?

    Pancreatectomy w/ splenectomy and partial gastric wedge resection – 48140 & 43611 – would you use -51 multiple procedure?

    Abdominoperineal resection and omental pedicle flap placement – 45110 & 49905 – would you use -51 for multiple procedure?

    Revision of gastrojejunostomy resection of small bowel, Roux-en-Y gastrojejunostomy and feeding jejunostomy tube placement – 43860, 44130 – would you use -51 for multiple procedure? (44015 was used also but is add on code, no -51 used)

    I have started a new job and they use -51 a lot. I'm not sure it's correct - but then again, I've not done this in a long time.

    Any help? Please? thanks

    Lynn Ring
    Lynn Ring, CPC, CPC-I, CCS, CCS-P
    Moffitt Cancer Center
    Tampa, Florida
    AAPC Chapter Association Board of Directors
    Region 5 Southwest - TX, OK, MO, KS, LA, AR, MS

  2. Red face
    Can you tell me who the Carrier is?

    The 51 modifier is no longer required with Medicare. But if this is a commercial carrier, they may still want to see it.

    Caprice, CPC

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