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Thread: Modifier 51 vs 59

  1. #21
    Join Date
    Apr 2007
    Columbia, MO


    AAPC: Back to School
    You would only need the 51 (keeping in mind some carriers do not want/need this modifer any longer), the 59 is not needed. You do not need to worry about bundleing of these two procedures. Definition of the procedures is enough to say distinct ans separate. For you cannot use the colonoscopic approach to inspect the esophagus!

    Debra A. Mitchell, MSPH, CPC-H

  2. #22
    Join Date
    Apr 2007


    Modifier 59 is used to indicate that two procedures are distinct procedures which are performed at different times and/or locations whereas modifier 51 is used when same physician performes more than two procedure at the same time

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