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Thread: Which modifier for primary service?

  1. #1
    Join Date
    Apr 2007
    Bentonville, Arkansas

    Question Which modifier for primary service?

    AAPC: Back to School
    A punch biopsy(11100) and cryo(17000/59) were done on Medicare patient. The punch biopsy was denied as bundled. Any suggestions?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    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
    Join Date
    Apr 2007
    Greeley, Colorado


    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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