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modifier 51 question - I work in dermatology

  1. #1
    Default modifier 51 question - I work in dermatology
    Medical Coding Books
    I work in dermatology. Our doctor performed an intralesional injection (cpt 11900) of kenlog to two different sites: the scalp for Alopecia and neck for folliculitis. Do I use the modifier 51 because it is two different sites?
    11900
    11900 - 51

    or should I code 11900 x 2 ?

    or no modifier at all...

  2. #2
    Location
    Columbia, MO
    Posts
    12,531
    Default
    you need the 59 to identify same procedure at a separate site, then depending on payer you might need the 51 as a second modifier to indicate bioth performed in the same sesion. So
    11900
    11900 59 51

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Smile
    that makes senxe now that I reread the modifier description, thank you!

  4. #4
    Default
    11900 is intralesional injection ; up o and including 7 lesions. You should only be billing this once I would think.

  5. #5
    Default
    Yeah, We cannot bill 11900 twice with any modifier as we should bill only once the 11900 for upto and including 7 lesions.

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