modifiers T5

QUESTION: If the same procedure was done on the great toe of the right foot and on the great toe of the left foot, how is it coded?

ANSWER: Report the procedure code once and append modifiers T5 (right foot, great toe) and TA (left foot, great toe) to the code. CMS currently accepts up to two modifiers per line.





For more information : Join our exclusive FREE Email Coding News Alert Mailing List http://www.codinginstitute.com/

modifier -91 be reported under CCI

QUESTION: How should modifier -91 be reported under CCI?

ANSWER: Modifier -91 should be appended to laboratory procedure(s) or service(s) to indicate a repeat test or procedure on the same day. This modifier indicates to the carriers or fiscal intermediaries that the physician had to perform a repeat clinical diagnostic laboratory test that was distinct or separate from a lab panel or other lab services performed on the same day, and was performed to obtain medically necessary subsequent reportable test values. This modifier should not be used to report repeat laboratory testing due to laboratory errors, quality control, or confirmation of results.

For more information : Join our exclusive FREE Email Coding News Alert Mailing List http://www.codinginstitute.com/

Can hospitals use modifier –51?

QUESTION: Can hospitals use modifier –51?

ANSWER: Modifier –51 is not used by hospitals.





For more information : Join our exclusive FREE Email Coding News Alert Mailing List http://www.codinginstitute.com/

How should modifier -59 be reported under the CCI?

QUESTION: How should modifier -59 be reported under the CCI?

ANSWER: Modifier -59 is used to indicate a distinct procedural service. To appropriately report this modifier, append modifier -59 to the column 2 code to indicate that the procedure or service was independent from other services performed on the same day. The addition of this modifier indicates to the carriers or fiscal intermediaries that the procedure or service represents a distinct procedure or service from others billed on the same date of service. In other words, this may represent a different session, different anatomical site or organ system, separate incision/excision, different lesion, or different injury or area of injury (in extensive injuries). When used with a CCI edit, modifier -59 indicates that the procedures are different surgeries when performed at different operative areas or at different patient encounters.

For more information : Join our exclusiveFREE Email Coding News Alert Mailing List http://www.codinginstitute.com/