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Thread: hELP PLEASE- NEW CODER!

  1. #1

    Default hELP PLEASE- NEW CODER!

    Can you code a bipsy- 58100- and endocervical curettage-57505- together? I put a 51 mod on 57505 and it was denied inclusive. What do you think?

    Thank you

    Deidra
    CPC-A

  2. #2

    Default

    The code pair you listed below (57505 & 58100) generates a non-modifiable CCI edit for both the physician and facility billing; they should not be reported together. If both were performed and documented only 57505 would be reported.
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS
    ciphermed@optonline.net

  3. #3
    Join Date
    Apr 2007
    Location
    Minneapolis
    Posts
    328

    Default

    If the codes had a CCI edit that allowed a modifier override, modifier 59 would be the one to use instead of modifier 51. The 51 modifier is informational only for multiple procedures.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

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