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posterior and anterior - support a -59?

  1. #1
    Columbus, Ga
    Question posterior and anterior - support a -59?
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    My doc wants to use a modifier 59 on arthroscopic procedures done on the shoulder if one is posterior and the other is anterior. Does this constitute a 59?

    For example, posterior capsulorrhaphy (29806) and anterior lysis of adhesions (29825-59)...

    Please give me feedback. Thanks.

  2. #2
    Columbus, OH
    When billing shoulder procedures it depends on what "region" of the shoulder the procedure was performed in. We can add a mod 59 when the procedure is in separate "regions": glenohumeral joint, acromioclavicular joint and subacromial bursal space.

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