tci ED Coding & Reimbursement Alert - 2006 Issue 9

READER QUESTIONS: Nail Down Modifier 51 Exemptions

Question: I heard a colleague discussing CPT codes that are exempt from modifier 51 (Multiple procedures). How can I find out which CPT codes are exempt from modifier 51?California SubscriberAnswer: There are several exceptions to modifier 51 in CPT 2006--so many, in fact, that the AMA included a separate appendix with a list of all the codes that are exempt. Appendix E of CPT 2006 contains the section -Summary of CPT Codes Exempt From Modifier 51.- The appendix features -a summary of CPT codes that are exempt from the use of modifier 51 but have not been...

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