Modifer 51 and 59 in Medical Coding -- What's the Difference and which one should you use??

[@rlamar9149]

I just told my manager I would look for a short video that explained modifier 59 for our next coding meeting and of course this is the first place I came to look! :)

[@bryansmith331]

I just got my RHIA and am going to start studying for the CCS-P. Thanks for sharing your knowledge!

[@fussyfissy]

Victoria, you read my mind lol!! Thank you for this video! I was wanting clarification for mod -59

[@sandradepew3817]

Hello! I’m still a little confused about 51…in your example of the wrist and appy…why would we add 51 and reduce the payment if they were distinct/separate procedures? Shouldn’t they get paid for both as separate procedures? Thank you!

[@pankajadhikari8746]

Hi Victoria please make or arrange Management wise chapter & there updated CPT guidelines so we get to know how we can bill or understand, for example: PAIN MANAGEMENT, SURGERY, PEDIATRICS etc. I always watched your videos whenever I needed to close my doubts as an AR. Please make some of this type of series so we can learn more & more. 🙏

[@hincklyiheanacho1172]

Hi, I'm from Nigeria...please can u make a video explaining how to code evaluation and management codes....it's really confusing for most of us

[@drasleona_89]

Thank you for explaining this!

[@pulinkumarpaleja6351]

Have one question regarding modifier 51 usage. When two CPT code descriptions are complementary to each other, can we use modifier 51, e.g. (33202, 33221) or (33202, 33221-51)? similarly (63650, 63685) or (63650, 63685-51)? If we check RVUs of all these 4 CPTs, they are different. Thanks in advance.

[@archananpishe]

For the example in the last part it is -59. The wrist repair is different from appendectomy. They are not related to each other. Wrist repair is distinct procedure. so -59

[@idovtec10]

Do you have any videos explaining global inclusive and reasons for denial?

[@archananpishe]

I know the difference... but I'll still watch... thanks

[@meredithapter7883]

Thank you so much for these videos! They are so helpful! Your makeup looks amazing in all of them btw 😊

[@duttonmorgan3349]

Hey there 👋 Happy new year 🎄🎄🎊🎉🎁 Can I ask you a question.. 💭❓

[@LadyNubz]

What about on the facility side of things when we have multiple procedures? We aren’t able to use 51. I’ve been told to use 59 when we have multiple different procedures in place of 51. Is that correct?

[@JustNel]

Any tips on how to label hcps? I've only used it a handful of times during my course and i am getting close to the end and will be moving things around to make it easier

[@ContempoCoding]

A lot of course and instructors don't spend a lot of time on HCPCs because there's only 3 HCPCs questions out of the 100 on the CPC exam. Chances are good maybe 1 will test you on calculating drug dosage and units, another on an insurance-specific code, and maybe a HCPCs modifier question. Those are kind of the big concepts to hit. So spending a ton of time labeling the book isn't super necessary. I would recommend maybe putting tabs on the index, modifiers, and drug codes.

[@treon8626]

I had the same question. Thanks for this advice

[@JustNel]

@@ContempoCoding thanks for the advice! That's what I meant, tabs. Will make sure to practice conversion

[@maricellimpin9668]

New to this channel and thank you so much for sharing your knowledge to us

[@ContempoCoding]

You are so welcome

[@lettyzamora4518]

Hi how to code telehealth for physical therapy there are specific codes for that Other the x codes? Thank you!

[@donaimeri1591]

I just had one procedure with 51 exempt, which was correct. I'm so confused. I didn't select the code with 51 modifier because there was 51 exempt and it was wrong.

[@bethschlessinger9288]

What would removal of multiple lesions be if they were in different areas?

[@ContempoCoding]

Depends on the types of lesions, method, depth, and lots of variable factors.

[@bethschlessinger9288]

Can you give me 2 situations for lesions that would fit for each one?

[@donaimeri1591]

All codes with + can not get modifiers or just 51 modifier? Did someone know this?

[@thaiteanuh]

Thank for the video! Can both be used at the same time? Example: Stent placement in LD, stent in RC, LHC with coronaries, IVUS of LD and moderate sedation. [92928.LD, 92928.51,59,RC, 93458.26.51.59, 92928.26.LD, 99152]? Would this be correct?

[@AIAME1436Z]

Hello mam, I have a doubt on it, if a patient had a simple repair on legs 8.6Cm and simple repair on cheek 2Cm and Intermediate repair on 9Cm on chest, so which one is correct --- 12004,12011-59, 12034-51 (or) 12004,12011-51,12034-51

[@ContempoCoding]

Hi there! I do not provide answers to homework questions on my channel.

[@J3Wifey]

So helpful!!! Thank you and bless you!!!

[@johnali287]

I encountered an issue with the cpt 76942 in Aetna, they are being denied. What is the solution?

[@ContempoCoding]

Contact Aetna.

[@marloann4]

Thank you!

[@emonilee4787]

I have a question is it possible to be a medical coder at night/overnight or everything has to be done during the day especially working from home?

[@ContempoCoding]

99% of jobs are dayshift hours

[@emonilee4787]

@@ContempoCoding thank you :)

[@trionmay]

Tysm! More content like this, please.

[@ContempoCoding]

You got it!

[@cynthiagarcia8856]

My provider submitted 76830 and 58100 (both provided during same visit). Would either of these modifiers apply? I’ve recently moved into this position after previous coder/ biller left and I’m trying to understand

[@anathunder828]

New to the channel. Any recommendations for online medical school coding courses. I am new to all this. So many online schools. Trying to figure it out

[@ContempoCoding]

Thanks for reaching out. As you can imagine, I get many requests for advice for medical coding schools, and you will find all the answers you need by signing up for my FREE masterclass! www.medicalcodingmasterclass.com I think you’ll find it very helpful! Best of luck! * * DISCLAIMER: Link included in this comment is an affiliate link. If you purchase a product or service with the links that I provide Contempo Coding may receive a small commission. These affiliate commissions add no extra cost to the purchase price and helps support me so I can continue to provide my viewers great content about medical billing and coding.

[@wailanakaahanuiahuna1682]

The coupon code is not working upon your website. Please help. Thank you!

[@ContempoCoding]

Which code and what product? The October code is only valid on review classes and no other products.

[@talaclark1087]

I think the title should be Modifier 51 and 59 (not 51 twice), but this is exactly the content I needed 🥴 Thank you Victoria!

[@ContempoCoding]

Fixed

[@talaclark1087]

@@ContempoCoding oo you're fast ⚡

[@ContempoCoding]

Uh oh, somebody check if I sparkle in the sunlight cuz I might be a vampire I'm so ridiculously fast. 🧛🏻‍♀️🧛🏻‍♀️🤣🤣🤣

[@talaclark1087]

@@ContempoCoding What ICD-10 code is that? Hah

[@kimkranz9764]

Perfect!

[@flutekumarraja]

Thank you

[@shalehajaffar2335]

Hi Victoria, I have a doubt can I appear for cpc exam without going for any training or is it mandatory one, and one more thing is can I get membership in aapc with self pace. The fee is slightly reduced when we have aapc membership. Kindly help me in this. Thanks in advance

[@ContempoCoding]

There are no requirements for a particular training for the CPC exam. You are not able to take it without a membership to the AAPC in the US.

[@shalehajaffar2335]

@@ContempoCoding thank u so much

[@DocIndian1135]

51-51

[@ContempoCoding]

Fixed

[@DocIndian1135]

@@ContempoCoding I scheduled my exam this Saturday ☺️

[@ContempoCoding]

Awesome!!! Best of luck to you!! 🍀🍀🍀🍀

[@pavithrapappannan2282]

Hi i'm(from India) a new subscriber to your channel..first of all I would like to thank you for this platform...i'm a non certified medical coder..having 1.6 year exp..currently working in radiology coding this is my first job..I just want to change my speciality radiology to EM or ED..can you please suggest any ideas to change this speciality ...I have tried to change but everyone asking exp for ED or EM..currently im preparing cpc also...before this exam I would like to change ..please help me ..thank you in advance...

[@ContempoCoding]

Thanks for reaching out. As you can imagine, I get many requests for personalized advice so I am available for one-on-one sessions that can be booked on at contempocoding.as.me/

[@ladyt1866]

😂” don’t tell us to pay you less , we already will 😂😂😂

[@Nance98]

51 and 51? Definitely confusing ! ! ! ! Typo alert

[@ContempoCoding]

Fixed

[@ashleywhispers4331]

thank you!