Results 1 to 2 of 2

63650 x 2 - what modifier on the second one?

  1. #1
    Location
    Greater Atlanta
    Posts
    37
    Default 63650 x 2 - what modifier on the second one?
    Exam Training Packages
    This is a question on the hospital outpatient setting side. For the spinal cord stimulator trial with 2 leads, 63650, which modifier would you use for the second one? 51 isn't on the list for the outpatient setting from what I can tell. Would you use a 59 or a 76 maybe?
    BHouston,MBA,CPC,CPC-H,CPC-I,CCS-P
    Inpt & Outpt Coder

  2. #2
    Default
    I would bill quantity two. It is my understanding the payment for the device is included in the CPT for Medicare so for device intensive codes the multiple surgery reduction would not apply in the understanding that the 2nd lead costed the same as the first. Per Cpt Assistant, 51 on the second line on the physician side with a note stating Placement of second lead is the way the physician claim is accepted and even going as far as not reporting 95972 since the rep in essence is "doing the programming"

Similar Threads

  1. 63650
    By p54bhli in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 05-14-2014, 02:52 PM
  2. Modifier 74 on CPT 63650 x 2
    By jorja in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-03-2013, 05:45 PM
  3. 63650 w/ 63685
    By medicalcoder519@yahoo.com in forum Anesthesia
    Replies: 3
    Last Post: 06-30-2011, 01:59 PM
  4. 63650-51 or 63650-50 urgent
    By kkubisz in forum Anesthesia
    Replies: 1
    Last Post: 02-16-2010, 10:08 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.