tci ED Coding & Reimbursement Alert - 2004 Issue 6

Check CPT for Modifier -51 Exemptions

'Circle with a slash' sign indicates modifier -51 exempt code Think you're ready for claims using modifier -51 (Multiple procedures)? Not if you don't know the exceptions to the modifier -- and how to spot them. Appendix E of CPT 2004 contains a list of codes that are exempt from modifier -51. The list is "a summary of CPT Codes that are exempt from the use of modifier -51 but have not been designated as CPT add-on procedures/services," according to CPT. These modifier -51 exempt codes are also recognizable within the code listings of CPT; just look for...

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