Forum - Questions & Answers

Mar 17th, 2015 - Rangadhar 1 

59 modifier

i am geting report with 4 times chest xr with same DOS by same physician...can i use 59 modifier to 3 cpts ex -71010
71010-26-76-59
71010-26-76-59
71010-26-76-59

Mar 17th, 2015 - Jackfraust 69 

re: 59 modifier

there is not enough information given to know - were all 4 chest x-rays done in the frontal view (71010)?
71010
Procedure Description:
A radiograph is taken of the patient's chest from front to back (AP). Typically, this is done when the patient is too ill to stand or be turned to the prone position. The key element of this code is that it reports a single, frontal view.

if not you may want to look at a different code-
there is a code for chest, complete, min 4 views,
71030
Procedure Description:
Films are taken of the patient's chest, specifically a complete exam, with a minimum of four views. Typically, this would include a back to front (PA), side to side (lateral), and right and left obliques, but may include any number of specialized projections, e.g., axial (angulated) views or lateral decubitus views for fluid levels

Of course this is depending in views taken

Mar 17th, 2015 - Rangadhar 1 

re: 59 modifier

i mean if single AP views of chest has been taken 4 times by same physician in same DOS...and there is 4 different report in different times for single view of chest..in that case how should i billed the report...? can i use 59 modifier to those CPT® as i mentioned above...Please clarify



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