Author Topic: Correct coding of multiple procedures in same operative session  (Read 2368 times)

tperian

  • Newbie
  • *
  • Posts: 26
Correct coding of multiple procedures in same operative session
« on: October 08, 2024, 06:04:31 PM »
Our coder billed the multiple procedures in same operative session as: 
24075   59,79,RT 4 units
24075   XS,79,LT  3 units
21552   79,RT  1 unit
24071   79,RT  2 units
24071   79,XS,LT  1 unit

but i believe it should have been billed as:
24075   RT   4 units
24075   51, XS, LT   3 units
21552   51, RT   1 unit
24071   51, RT   2 units
24071   51, XS, LT   1 unit

Is that correct or are we both wrong?
« Last Edit: October 08, 2024, 06:21:15 PM by tperian »

Kerri

  • Jr. Member
  • **
  • Posts: 53
Re: Correct coding of multiple procedures in same operative session
« Reply #1 on: October 09, 2024, 10:57:36 AM »
Yours looks more right.  I don't bill these codes, but in general  I question the 51. I think it should be 52.  And 79 isn't right, because you are doing everything at the same time.  Did the patient have surgery in the last ten days?

tperian

  • Newbie
  • *
  • Posts: 26
Re: Correct coding of multiple procedures in same operative session
« Reply #2 on: October 09, 2024, 12:12:43 PM »
The surgery was back in July but there was no other procedure in the last 10 days. 
Modifier 51: used to indicate that more than one procedure was performed during the same session by the same provider/indicates that multiple procedures were performed at the same session
Modifier 52: used to indicate that a procedure or service was either partially reduced, discontinued, or eliminated/used for services that do not require anesthesia, such as radiology procedures.


Medical Billing Forum

Re: Correct coding of multiple procedures in same operative session
« Reply #2 on: October 09, 2024, 12:12:43 PM »