NOTE: Effective 1/1/09, the facility version of NCCI edits will include edits for the following categories of service: Anesthesia (00100-01999), E&M (92002-92014, 99201-99499), and MH (90804-90911). Prior to 2009, these code pairs were excluded from the facility edits. Code / Description 64450 N BLOCK, OTHER PERIPHERAL M Rel Wt: 3.72 Code 64450 is a component of Column 1 code 12051 but a modifier is allowed in order to differentiate between the services provided. 12051 INTMD WND REPAIR FACE/MM M Rel Wt: 1.35 No bundling issues exist 99214 OFFICE/OUTPATIENT VISIT, EST M Rel Wt: 1.32 No bundling issues exist
Mutually exclusive" codes represent procedures or services that could not reasonably be performed at the same session by the same provider on the same beneficiary. If your going to tack on that mod. -59 you wanna make sure that your documentation supports it. If no supporting documntation then no modifier.