Wiki Office visit with Uroflow 51741 and PVR 51798

bill2doc

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Can someone clear the confusion with these codes and modifier -51 or -59. Pt comes in for office visit for Dysuria, UTI, Neurogenic BL, and Urge. Doc discusses the pt condition then decides to do the uroflow 51741 and PVR 51798. I only list a -25 on the OV. Carriers are appending -51 on the Uroflow/PVR. Can I bill that out with a -59 or is the -51 correct ??

Thanks so much!
 
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