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Which modifier for primary service?

  1. #1
    Location
    Bentonville, Arkansas
    Posts
    56
    Question Which modifier for primary service?
    Medical Coding Books
    A punch biopsy(11100) and cryo(17000/59) were done on Medicare patient. The punch biopsy was denied as bundled. Any suggestions?

  2. #2
    Location
    Columbia, MO
    Posts
    12,527
    Default
    you will need a 59 modifier IF these were two separate sites. The modifer will go on the service that is considered the component.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    code 17000 and 11100-59. even though the -59 is on 11100 medicare will reduce the lower reimbursed code. per cci edits 11100 is considered the component code.
    Lisa Bledsoe, CPC, CPMA

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