AMA CPT® Assistant - 2001 Issue 5 (May)

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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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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