Wiki Carriers that WANT you to add Modifier 51

[ellzeycoding]

I know most carriers (especially Medicare) don't want you to add modifier 51 when multiple procedures are billed. The computer edit systems will do it for you.

I know there are some exceptions. Wellcare, for example, requires providers to add 51 on claims where appropriate.

I am looking for any other carriers that require it to be added to claims

Bonus points for website links and claim policies you can reference.

 

[erjones147]

I will not get bonus points - but a Novitas rep told me that modifier -51 was required for a JVN retinal scan

Example (assuming no other optometry service):

92250-TC
92285-TC-51

I have not seen -51 REQUIRED by any other provider, but I also have never seen a claim denied specifically because the modifier was included