Wiki Debridement

[LindaA]

I have an MD who likes to do debridements more than once a day. Is it best to put a mod 59 on the second tx? This is concerning both Medicare and private ins's.

 

[Stine0]

If you are billing a distinct procedure unassociated with the original, you should bill the 59. However, if the procedure is related, you can bill a modifier 76 - Repeat procedure or service by the same physician. Either review the modifiers at the front (summary) or in Appendix A of your CPT book. These codes are typically acceptable by all insurance.