General Surgery Coding Alert

General Coding:

Modifier 63 Can Be Redundant

Question: Why can’t I append modifier 63 to CPT® code 36450? The patient in question was 3 days old and weighed 3.48 kg. Maryland Subscriber Answer: CPT® code 36450 (Exchange transfusion, blood; newborn) already specifies the patient’s age. Modifier 63 (Procedure performed on infants less than 4 kg) is intended to reflect the significantly increased complexity of a procedure — [...]
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