Most payers discount the second and subsequent procedure performed in the same session, the reason for this is they consider that part of the reimbursement for each procedure includes a portion for prep and when you do more than one procedure in the same session then the prep does not need to be redone sotherefore it is not paid for twice and the second procedure is discounted to carve out the prep portion. The 51 modifier was/is used to signify that this should occur. With electronic processing most carriers have built an edit to automatically discount the second and subsequent procedure so they no longer want/need the 51 modifier. The 59 modifer is used to indicate a distinc procedure that would otherwise be bundled with a comprehensive procedure. So to answer you question "Should I expect 100% reimbursement per fee schedule for both codes?" no you should not because the payer in all likelihood will discount the one with the lower RVU. If these procedure were performed in two separate sessions then you would need a modifier to stop the automatic discounting. I hope this helps to clarify for you.
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