Wiki Labs/pathologies

alysn1drlnd

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Need help! Looking for advice/guidance on labs/path for facility reporting. I am completely new to these, and I am not sure modifier 59 is appropriate on some of these. I have been researching online etc to no avail. For example:
G0461 and G0462 with 88360..when is ok to use the mod? If anyone has anything they can steer me towards to find this information, that would be so amazing!!

Thanks!
 
G0461 & G0462 are IHC's which are equivalent to CPT 88342 but used for Medicare patients. According to CMS it is appropriate to use with 88360 with the appropriate modifier 59 and the proper documentation why the additional stain was used with findings.
 
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