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Thread: modifier 51 on 2nd procedure when 92950 is first?

  1. #1
    Join Date
    Apr 2007
    Posts
    18

    Question modifier 51 on 2nd procedure when 92950 is first?

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    I know that appending modifier 51 to medicare is not needed since they are able to apply it when applicable. However in general coding, would it be appropriate to apply modifier 51 to a second procedure coded along with 92950? For example:
    99285-25
    92950
    36556-51?
    A question was raised as to whether or not the modifier would be needed since the first procedure was from the medicine section and not surgery.
    p.s. - I posted this in the modifier discussion thread, but I hadn't received any response to it so I figured I would post it here as well.

    Thank you!
    Bobbi

  2. #2
    Join Date
    Apr 2007
    Location
    Milwaukee WI
    Posts
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    Default I would not use -51 modifier

    I would not use the -51 modifier in the scenario you desribe.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Posts
    18

    Cool I would agree, but.....

    Thank you for your response and I feel you are correct, but can you point me to concrete evidence that states this?

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