What is the modifier 59 used for?

Modifier 59 Distinct Procedural Service indicates that a procedure is separate and distinct from another procedure on the same date of service. Typically, this modifier is applied to a procedure code that is not ordinarily paid separately from the first procedure but should be paid per the specifics of the situation.

What are the modifiers for CPT codes?

CPT modifiers (also referred to as Level I modifiers) are used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. Code modifiers help further describe a procedure code without changing its definition.

What modifier is used with 69200?

Code 69200 (removal of foreign body, external auditory canal) would be reported with modifier 50 (bilateral procedure) to signify to the payer that a bilateral procedure was performed.

Is 44015 an add on code?

Additionally, 44015 is an add-on code that must accompany an appropriate primary procedure code. Unfortunately, NCCI also bundles 44015 to 43830, making 43830 once again the only separately billable procedure.

What is XS modifier?

Modifiers 59 or –XS are for surgical procedures, non-surgical therapeutic procedures, or diagnostic. procedures that: • Are performed at different anatomic sites, • Aren’t ordinarily performed or encountered on the same day, and.

Does 69210 require a modifier?

When you are using 69210 for ear wax impaction, it is appropriate to use an E/M code (with modifier -25) if the patient received a true evaluation and management for a separate problem (such as bronchitis or pharyngitis) or for complicating problems (such as dizziness or otitis media).

What does CPT code 69200 mean?

CPT® Code 69200 – Removal Procedures on the External Ear – Codify by AAPC. CPT. Surgical Procedures on the Auditory System. Surgical Procedures on the External Ear.

Do add on codes need modifier 59?

Contributor. Yes you may append modifier 59 to an add on code.