Someone mentioned to me the other day using a -59 mod on J0670 and bill it with 20610 and J1030. Everything I find this anesthetic is included and have no idea where this person got her information from. Can you give some other information on this I can share with this person? Or am I the one that has misinterpreted the guidelines? Thanks
Read the Surgery Guidelines in CPT®, "CPT® Surgical Package Definition" which states that local infilteration, metacarpal/metatarsal/digital block or topical anesthesia is always included in any given CPT® surgical code.
You shouldn't be reporting the topical anesthesia or digital block with OR without a 59 modifier. This would be inappropriate unbundling.