Gastro coding

When a physican does a colon and does a poloyectomy (45385) BX (45380) and a tatoo /submucosal inj (45381) do we use a 51 or 59 modifier? On the same day the physican does a upper endo with dialation and a bx (43249) (43239) on the same day and same time, what modifer would i use to bill?
CPT® MOD
Ex: 45385 /
45380 / 59
45381 / 59
43249 /
43239 / 59
this is the way i was told but i would think it should be a 51 modifier? please advise thanks

Jun 26th, 2012 - mesalamb 26

re: Gastro coding

I agree with the way you were told.

45385
45380-59
45381-59
43249
43239-59

I never use modifier 51. It is automatically assigned by some payers. I use modifier 59 for multiple procedures done at the same session.

Jun 26th, 2012 - rphelps 615 1

re: Gastro coding

There are no bundling issues with 45385,45380 and 45381 so I do not use a 59 modifier on 45381.

Jun 26th, 2012 - koatsj 160

re: Gastro coding

There are bundling issues with 45385 & 45380. I use -59 modifier on 45380.

Jun 28th, 2012 - rphelps 615 1

re: Gastro coding

I agree. 45380 need 59 if done with 45385 but no modifier needed with 45381.