modifier 51

  1. C

    Wiki Modifier 51

    Hi everyone, I have a question. We have a patient who underwent LEV (93970) and LEA (93925) procedures on the same day. In addition to the E/M codes with modifier 25, should I use modifier 51 to indicate that one of the procedures is secondary to the primary one? Also, is modifier 51 applicable...
  2. J

    Wiki What modifiers do I need in this case?

    Hello all, I'm wanting to make sure that I am correct in my thinking of what modifiers I would assign in this case, so I would love it if I could get your help! The patient had an E/M visit in the domiciliary setting, along with toenail debridement, cerumen impaction removal, and cryotherapy on...
  3. P

    Wiki Endoscopic sinus surgery-modifier question

    Does anyone know if it's appropriate to use a 51 modifier when performing surgery on more than one area of the sinuses in an ambulatory surgery center setting? For example, The doctor performed a bilateral frontal sinusotomy as well as a bilateral maxillary antrostomy. Should it be coded...
  4. A

    Wiki blephroplasty and ptosis

    posting Blephroplasty and ptosis repair same day 15823-50,51and 67903 -50 or 15823-50,59 and 67903 -50
  5. C

    Wiki 51/59 Nerve Block Modifiers - bundling issue

    Hello- I work for a neurology office - having some difficulty with a bundling issue. On an extreme case I could bill for one patient: 64450 64405 20553 64615 96372 How i was trained - typically I would use: 64450 - 50, 59 64405 - 59 20553 64615 96372 - 59 BCBS - pays for all minus 20553 -...
    • certick
    • Thread
    • bundling modifier 51 modifier 59 nerve block trigger point
    • Replies: 1
    • Forum: Modifiers
  6. B

    Wiki billing modifer 50 with 51

    I have a question about modifier 50 with 51 being billed together. I know that we do not have to apply 51 to the codes but for our reports we use it for RVU purposes. We apply 51 and the clearing house will take the 51 off. Our charge is already reduced when we apply modifier 50 (150%), but my...
  7. R

    Wiki Modifier 51 on diagnostic test codes

    Does modifier 51 apply to diagnostic procedure codes or just surgical codes? If it applies to diagnostic codes, under what circumstances should it be used? What about ophthalmology diagnostics - if one procedure is performed by a tech and another by the physician, should we use modifier 51?
    • rainagates
    • Thread
    • diagnostic modifier 51 ophthalmology
    • Replies: 1
    • Forum: Modifiers
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