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Thread: modifier 50

  1. #1
    Join Date
    Apr 2007

    Default modifier 50

    AAPC: Back to School
    can code 22505 be submitted with modifer 50, does anyone know?

  2. #2
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    Not according to CMS fee schedule (bilateral indicator = 0).

    Hope this helps,
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. #3
    Join Date
    Apr 2007
    North Carolina


    Agreed. Manipulation should be reported once for any/all regions manipulated for that encounter.

  4. #4


    (These are my opinions and should not be construed as being the final authority. Other opinions may vary.)

    This is from CPT Asst:

    March 1997 page 11
    Coding Consultation

    Musculoskeletal, 22505 (Q&A)

    How would you code manipulation of the spine under anesthesia for the specific areas of the spine (ie, cervical, thoracic, and lumbar)?

    AMA Comment

    From a CPT coding perspective, code 22505, Manipulation of spine requiring anesthesia, any region, should be reported only once, for any and all regions manipulated on that date.

    Richard Mann, your pain management coder

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