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Modifiers 51 or 59

  1. #1
    Overland Park, KS
    Question Modifiers 51 or 59
    Medical Coding Books
    A patient presents to the office to have two lesions excised. One from his right arm and one from his left leg. I know that this would not be a bilateral procedure, but how would this be coded? Would I report:

    11400 RT (for the arm)
    11401 LT (for the leg)


    11400 RT
    11401 51 LT


    11400 RT
    11401 51, 59, LT
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  2. #2
    These two codes are not bundled so there would be no need for the 59 modifier. I usually code these with just the cpt codes.
    Herbie W Lorona Jr., CPC, CPC-H

  3. #3
    North Carolina
    I don't find any bundling issues with these 2 codes. I would report:


    11401 carries more RVU's
    Last edited by RebeccaWoodward*; 06-22-2010 at 09:23 AM.

  4. #4
    Columbia, MO
    You do not use LT and RT with skin lesion excisions, skin is one organ without laterality so if anything it would be a 59, however with no bundleing then only the 51 is necessary.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Overland Park, KS
    Thanks to all.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

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