Wiki Modifer 59

[codedog]

Is modifer 59 approciate in this case ;

say cpt codes are
29826 RT
29827 RT
29823 RT

would you bill mod 59 on these cases ?
OR
42830
69436 -50
would you bill mod 59

The reason why I ask, some doc told me we can, I always thought you could not,

 

[JMeggett]

Is modifer 59 approciate in this case ;

say cpt codes are
29826 RT
29827 RT
29823 RT

would you bill mod 59 on these cases ?
OR
42830
69436 -50
would you bill mod 59

The reason why I ask, some doc told me we can, I always thought you could not,

I'm not familiar with the 2nd set of codes, but the 1st set I use alot. If the extensive debridement is supported well in documentation then yes, absolutely add -59 to the 29823 to unbundle from 29827.
Jenna

 

[codedog]

but for 29827 you would not , right?

 

[JMeggett]

but for 29827 you would not , right?

Correct, 29827 doesn't bundle into 29826 nor 29823 so no -59 needed on that.

 

[codedog]

thanks

 

[Jamie Dezenzo]

no 59 needed for either case