dballard2004
True Blue
This may come across as a dumb questin to some of you and please excuse my ignorance.
If a patient (non-Medicare) presents to the office for a screening mammo and then we also perform a diagnostic mammo later that day, would you report modifier 59 on the diagnostic mammo code? I have checked the NCCI Edits and I don't see an edit in place for the screening and diagnostic mammo codes, so would modifier 59 be necessary?
I am aware of CMS modifier GG for this instance, but would this modifier work for non-Medicare?
If a patient (non-Medicare) presents to the office for a screening mammo and then we also perform a diagnostic mammo later that day, would you report modifier 59 on the diagnostic mammo code? I have checked the NCCI Edits and I don't see an edit in place for the screening and diagnostic mammo codes, so would modifier 59 be necessary?
I am aware of CMS modifier GG for this instance, but would this modifier work for non-Medicare?