Indiana Subscriber
Answer: To choose between modifiers -51 (Multiple procedures) and -59 (Distinct procedural service) for claims with multiple laceration repair codes, first determine if the National Correct Coding Initiative (NCCI) bundles the codes.
If no NCCI bundle exits, use modifier -51. "When more than one classification of wounds is repaired," CPT directs you to use modifier -51. If the NCCI bundles the claimed codes, however, you should instead report modifier -59 to override the edit. Otherwise, the payer, if it follows the edits, will reject the component code as bundled into the more comprehensive code.