Wiki What modifier for 35371 and 35302

[hmanning]

CCI edits bundles these two codes unless a modifier is used. Was thinking a "59" but the diagnosis code is the same for both CPT codes. Help!

 

[FTessaBartels]

Don't need different diagnosis codes

You do not need different diagnosis codes to use the -59 modifier.

For example if you have two benign lesions - one on the left arm, and one on the right arm, they would be coded
11400, Dx 216.6
11400-59, Dx 216.6

Expect a denial and to have to supply documentation that shows two distinct procedures were performed on two separate surgical sites.

Hope that helps.

F Tessa Bartels, CPC, CEMC