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Modifier 51-anyone know whether

  1. Question Modifier 51-anyone know whether
    Medical Coding Books
    Does anyone know whether or not there are any exceptions to Medicare accepting modifier 51?

  2. #2
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    North Carolina
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    Quote Originally Posted by coders_rock! View Post
    Does anyone know whether or not there are any exceptions to Medicare accepting modifier 51?
    Our carrier (Cigna Gov) prefers leaving this modifier off....

    Modifier "51" is not required for billing purposes. The carrier will assign the "51" modifier as appropriate based on the services billed.


    WPS (another example): Medicare does not recommend reporting Modifier 51 on your claim; the processing system has hard-coded logic to append the modifier to the correct procedure code

    Is this the answer you were looking for?
    Rebecca CPC, CPMA, CEMC




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  3. Talking
    Quote Originally Posted by RebeccaWoodward* View Post
    Our carrier (Cigna Gov) prefers leaving this modifier off....

    Modifier "51" is not required for billing purposes. The carrier will assign the "51" modifier as appropriate based on the services billed.


    WPS (another example): Medicare does not recommend reporting Modifier 51 on your claim; the processing system has hard-coded logic to append the modifier to the correct procedure code

    Is this the answer you were looking for?
    Yes this is Rebecca, my assumption was that they do not require the modifier. I wanted to be certain. Thanks for your prompt and accurate response.

  4. #4
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    North Carolina
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    3,126
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    Happy to help~
    Rebecca CPC, CPMA, CEMC




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    http://www.thebreastcancersite.com/c...faces?siteId=2

    CLICK to give FREE mammograms!

  5. #5
    Location
    Minneapolis MN
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    Our Medicare Carrier WPS does not require the -51modifier nor does any of our commerical payers. DHS/Medicaid is our only payer that requires it.

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