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Thread: Midifiers 58 and 78 with 59?

  1. #1

    Question Midifiers 58 and 78 with 59?

    AAPC: Back to School
    If service 50205-58 was billed with 49010-78, can a 59 modifier still be appended to 49010-78, 59 to indicate a seperate procedure for reimbursement? According to CCI Edits the two charges are bundled with an allowed modifier. However are being denied for the multiple surgery rule.

  2. #2
    Join Date
    Apr 2007
    Stuart, FL


    Code 49010 can only be coded if it is a "separately identifiable service" in addition to 50205. You would likely need to appeal this case with documentation to support that these two were unrelated services in order to receive payment for both.

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