Modifiers (May 2001)

May 2001 page 10a Coding Consultation Modifiers, 19120, -59, -76 (Q&A) Question We have always reported excisions of benign tumors or cysts of the breast, which require multiple incisions during the same operative session, using code 19120 with modifier -59 to identify the separate incisions. Now we have been Adviced to report the subsequent incision sites by using modifier -76, Repeat Procedure by Same Physician. Would -76 be a better modifier to use in this situation? AMA Comment From a coding perspective, modifier -76 is intended to describe a "reoperation," rather than performing the same procedure at...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium coding consultation article discusses a CPT-focused modifier question in the context of excisions performed during one operative session. It is aimed at coders and billers who need to understand the article’s scope, including the clinical setting, the specific coding topic, and the general type of guidance provided without exposing the full advisory content.

Why This Topic Matters

The article is relevant for professionals evaluating modifier selection in operative coding, especially when multiple incision sites or repeat procedures are part of the same encounter. It helps readers identify whether the full discussion applies to their documentation and coding workflow.

Article Sections

  1. Coding Consultation

    A coding consultation question and an accompanying advisory response are presented in a Q&A format. The section focuses on operative coding context and modifier selection guidance in a surgical setting.

What You Will Learn

  • How the article frames a modifier-selection question in a surgical coding context.
  • What general type of operative scenario the consultation discusses.
  • How the article is organized as a coding Q&A discussion.
  • Which coding reference area the consultation belongs to.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing professionals
  • Compliance staff
  • Revenue cycle teams

Codes Discussed

Modifiers Discussed


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