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Modifier 52 question

  1. #1
    Question Modifier 52 question
    Medical Coding Books

    I posted this in the general discussion area, as well, and then realized there is a modifier section: when a psychologist or tech is performing a Neuropsych test (96118, 96119), yet documents his/her time for less than one hour, is it still applicable to bill either code or would this qualify for a modifier 52, although that is usually used with regard to procedures?

    Just askin'!

    Thanks a lot - Carol

  2. #2
    Louisville, KY
    -52 is a valid modifier for these services and I'd agree that if the time spent does not qualify for the code descriptor, the correct option is to append -52 to the service code.

    Neuropsych testing is a procedure. -52 is not just for surgical services; it may also apply elsewhere.

  3. #3
    Awesome! Thanks!

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