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Correct sx coding

  1. #1
    San Antonio
    Default Correct sx coding
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    Could 65400 and 65450 both be allowed for the same eye at the same TOS?

  2. #2
    My opinion:
    If same lesion then use one or the other, pick one with highest reimbursement. If two different sites then lowest cost procedure gets -51 modifier. Make sure documentation supports the different site.
    -51 modifier:not normally bundled, different procedure,different site
    -59 modifier: normally bundled, different procedure, same site
    this is my take on it, someone with more knowledge correct me if I'm wrong please

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