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Use modifier -52

  1. #1
    Casa Grande & Phoenix
    Default Use modifier -52
    Medical Coding Books
    I would like to know if anyone would use -52 in this situation.

    Radical abdominal hysterectomy w/lymph node dissection (B/L common nodes, B/L external & internal iliac nodes ONLY) and R salpingo-oophorectomy
    Dx: Endometrioid Adenocarcinoma

    Ins is Cigna and I was trying to determine whether or not to apply -52 or just use different code for hysterectomy. Per Cigna provider manual, they do not require op report to accompany claim for -52. Which I would rather send anyway but I don't know if it will be reviewed.

    Any thoughts are greatly appreciated!!
    Tara Johnson, CPC

  2. #2
    Casa Grande & Phoenix
    I forgot mention, ? is for CPT 58210
    Tara Johnson, CPC

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