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Thread: What modifier for 35371 and 35302

  1. #1
    Join Date
    Apr 2007

    Default What modifier for 35371 and 35302

    AAPC: Back to School
    CCI edits bundles these two codes unless a modifier is used. Was thinking a "59" but the diagnosis code is the same for both CPT codes. Help!

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Don't need different diagnosis codes

    You do not need different diagnosis codes to use the -59 modifier.

    For example if you have two benign lesions - one on the left arm, and one on the right arm, they would be coded
    11400, Dx 216.6
    11400-59, Dx 216.6

    Expect a denial and to have to supply documentation that shows two distinct procedures were performed on two separate surgical sites.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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