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Old 08-04-2010, 10:03 AM
scottc1 scottc1 is offline
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Question Cpt 77003

Hi Everyone,
Has anyone noticed that when doing interventional pain procedures that in addition to using the 26 modifier for 77003, that they are having to use the 59 modifier too?

I have been searching for some sort of documentation on this and am coming up blank.

Any suggestions would be greatly appreciated.

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Old 08-04-2010, 11:18 AM
RebeccaWoodward* RebeccaWoodward* is offline
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Many procedures include fluoro. Unbundling by adding mod. 59 to receive payment is inappropriate if the the fluoro is inherently built into the procedure. I suggest reading CMS' guidelines for proper reporting.


Click on the "NCCI Policy Manual" and open chapter 9
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Old 08-04-2010, 02:36 PM
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cmcgarry cmcgarry is offline
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Especially with the facet injections this year - the codes changed 01/01/2010 to include fluoroscopy, when it used to be billed separately. Be sure to check the descriptions of 64490-64495.
Lucinda (Cindy) McGarry, CPC-P
Applications Specialist
Avera Health Plans
Education Office Sioux Falls SD Local Chapter
Past President Sioux Falls SD Local Chapter

Last edited by cmcgarry; 08-04-2010 at 02:37 PM. Reason: corrected spelling
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