Mary Coleman
New
For instance you have two IM/SQ injections, both are different meds, using the admin code 96372 x2 would you use 59 modifier? The two injections and admin are the only items on the ticket.
you really should be care when using units for services that are not listed as quantity distribution services. Such as drugs that come in quantities or timed services. There is much written about this and although some payers will pay with units the reimbursement is not always correct. Also there is an edit that can be rejected back for units out of range. I like to list each distinct and separate procedure as two line items with unit of 1 and use the 59 modifier on the second and subsequent. I always get the maximum reimbursement this way.