hstefani
Contributor
I have noticed a few of our providers have been billing procedures with both modifier 59 and 51 on the same CPT. I have always thought this to be incorrect, however, my supervisor said this is the right way to bill. I see 59 as a separate/distinct procedure unrelated to the original procedure, while 51 is stating that we are doing additional work to the primary. Why would billing them together be correct? In my research, I have found other examples of other procedures billed, also with both 59 and 51 together.
Example of one of our claims:
50715-LT
58350-51
58661-59/51
44005-59/51 (This is already listed as a separate procedure)?
Can any one shed some light on this for me?
Thanks!
Heather
Example of one of our claims:
50715-LT
58350-51
58661-59/51
44005-59/51 (This is already listed as a separate procedure)?
Can any one shed some light on this for me?
Thanks!
Heather