Author Topic: Multiple Procedures  (Read 1446 times)

lagadabilling

  • Newbie
  • *
  • Posts: 1
Multiple Procedures
« on: April 17, 2012, 05:52:21 PM »
Hi,

I work for gastroenterologist. If he performs an ERCP,with stone removal, and balloon dilation, and stent placement, do I have to place mod 51 in each of the other three cpt codes that follow the primary cpt code?


Mario

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4743
    • Solutions Medical Billing
Re: Multiple Procedures
« Reply #1 on: April 24, 2012, 05:49:47 AM »
Modifier -51 (multiple procedures) must be used to indicate instances when
multiple procedures, other than E/M services, physical medicine and
rehabilitation services, or provision of supplies (e.g., vaccines), are performed
at the same session by the same provider.

If you are billing multiple cpt codes (meaning if there is not one code for what you are describing) it sounds as if the 51 modifier may be appropriate.  Without more info - cpt codes/pt chart - it's impossible to say for sure. 
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com