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Modifier 51 with cath/stent

  1. #1
    Location
    Newport News, VA
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    Default Modifier 51 with cath/stent
    Medical Coding Books
    Help! Our claim scrubber is saying that the new cath codes need a modifier 51 when billed along with a stent. However, I do not feel this is appropriate. Opinions, anyone???

  2. #2
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    Quote Originally Posted by dhusby View Post
    Help! Our claim scrubber is saying that the new cath codes need a modifier 51 when billed along with a stent. However, I do not feel this is appropriate. Opinions, anyone???
    Was this cardiac cath or an arteriogram? I think it should be modifier -59 since they are distinct procedures.

    Jim Pawloski, CIRCC

  3. #3
    Location
    Newport News, VA
    Posts
    5
    Default
    Cardiac cath. And from other discussions I've seen, those that have looked at the NCCI edits feel the general consensus is that 59 would not be necessary either.

  4. #4
    Default
    Quote Originally Posted by dhusby View Post
    Cardiac cath. And from other discussions I've seen, those that have looked at the NCCI edits feel the general consensus is that 59 would not be necessary either.
    Either modifiers would not be necessary.

    Jim

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