Modifiers Flashcards
Inpatient bilateral procedure
50
Inpatient reduced services-Incomplete procedure
52
Repeat distinct procedure
59
Repeat Labs
91
Outpatient Multiple hospital E/M encounters on the same date
27
Discontinued outpatient procedure prior to anesthesia administration
73
Discontinued outpatient procedure after anesthesia adminitration
74
Bilateral procedure CPT
50
Incomplete procedure
52
Multiple procedures
51
If the physician excited 2 lesions with 1 incision how is this coded?
2 excision codes with modifier 51 on the last
Modifier to be used if submitting 2 codes, one of which is part of the other procedure and is not coded unless done in a separate session or a different excision site
Modifier 59 to be used on the less significant procedure
Modifier NOT applicable to hospital outpatient
51
Modifier if patient is seen in ER by a cardiologist and a podiatrist?
27
Physician performs multiple surgeries/services on the same day, during same surgical sesssion
51