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Pathology Billing Modifiers

  1. Default Pathology Billing Modifiers
    Medical Coding Books
    Does anyone any suggestions for finding modifer info on billing pathology codes?? I need to find out whether or not we can bill a single tissue biopsy that was cut into 3 sections and billed 3 times with a 59 modifier.
    Someone mentioned that b/c it's the same anatomical site and not a different site, it can be billed 3 times but with a 76 mod. Please clarify!

  2. #2
    Was the tissue seperately identified by the surgeon? What type of tissue is it?

  3. Default
    it was 1 single tissue cut into 3 sections and 3 studies were done. it was still 1 identified tissue sample

  4. #4
    If the surgeon designates it as one specimen only, it is generally irrelevant how many time it has been cut. However, there are exceptions. Do you have the case information? I am a coder for a pathology lab and might be able to help you.

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