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Radiology and modifiers

  1. #1
    Location
    Fort Wayne In
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    81
    Default Radiology and modifiers
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    Whhen coding radiology for the professional component I know we use modifier 26. If this is the second code would you also use the 51? The codes are not 51 exempt and not an add-on code so I am assuming you would. But I have heard from others who say radiology codes do not use 51.

  2. #2
    Location
    Capital Coders, Columbia, SC
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    145
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    Modifier 51 is for multiple procedures. Don't use for radiology.

  3. #3
    Location
    Fort Wayne In
    Posts
    81
    Default Radiology modifiers
    Where does it say in writing that 51 is not used in radiology, it is not add add-on nor is it 51 exemp. I do not see it in the guidelines or anywhere else.

  4. #4
    Location
    Capital Coders, Columbia, SC
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    145
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    I may not have been clear on you original question. What type of radiology service are you refering to, diagnostic or therapeutic?

  5. #5
    Location
    North Carolina
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    3,126
    Default
    Are you referring to these codes?

    50.3 - Application of Multiple Procedure Policy (CPT Modifier “-51”)
    (Rev. 1, 10-01-03)

    Carriers must apply the multiple procedure reduction to the following nuclear medicine diagnostic procedures: codes 78306, 78320, 78802, 78803, 78806, and 78807.

    https://www.cms.gov/manuals/downloads/clm104c13.pdf

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