1formissy
Guru
There seems to be some discrepency in what I am telling this practice vs what a "GI coding lady" is telling them on the phone.
I have always practiced that whenever you are reporting a CPT code in conjunction with another CPT code, and it hits an NCCI edit, you would always use the unbundling modifier on the SECOND procedure.
Now, after all this time, I am told, I am wrong. You would put a 59 modifier on the primary procedure code, if the primary code is bundled into the secondary code. I really need to connect with someone who is a specialist in the GI coding, and I need to be directed to definitive resources as to the correct coding of common GI procedures.
Thank you in advance!
My email is reflection15@comcast.net
I have always practiced that whenever you are reporting a CPT code in conjunction with another CPT code, and it hits an NCCI edit, you would always use the unbundling modifier on the SECOND procedure.
Now, after all this time, I am told, I am wrong. You would put a 59 modifier on the primary procedure code, if the primary code is bundled into the secondary code. I really need to connect with someone who is a specialist in the GI coding, and I need to be directed to definitive resources as to the correct coding of common GI procedures.
Thank you in advance!
My email is reflection15@comcast.net