Wiki injections with 59

[ebcarroll]

I have a questions regarding the modifier 59. Normally in billing a particular claim we would bill 64635, 64636, and 64636-59 for additional.


My question is XS modifier sufficient even though the injection is done on the spine but different disc?? Or should 51 be used in this case??

Please help!!

 

[luhre]

Coding Data Analyst CPC

Until further instruction on the X modifiers, in this case I would use modifier 59. This is still excepted. Modifier 51 should not be appended to add-on codes.

 

[ebcarroll]

we normally do use the 59 modifier. However when billing Medicare they told us that the 59 modifier was invalid and other modifier should be used.

 

[lace659]

Yes, I would use the XS modifier since the code description for 64636 is stated as each additional facet joint. That would mean a different structure/site.