distinct procedural servise
is it 59
yes
-59
Yes with modifier 59
Review Modifier -59 is if applicable
yse
Modifier 59 is used to represent a different session or patient encounter, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same physician. You would not use modifier 59 on an E&M service such as 99396.
28475,28475-59
30520 and 30130-59 also may need mod 50 if bilateral
It is used to indicate that a service is altered by some specific circumstances, but not change its code.
-59
CPT 11900 is used for an injection, intralesional; for up to and including 7 lesions. The physician uses a syringe to inject a pharmacologic agent undrneath or into seven or fewer skin lesions in 11900 and more than seven lesions in 11901. The lesions may be any healed skin lesions including post-laceration and post-surgical scar bands. The physician may inject steroids or anesthetics (not pre-operative local anesthetic) into these lesions. Modifiers serve to provide more specific billing information to insurance carriers. There are quite a few modifiers that would be appropriate with cpt 11900. The physician might choose a modifier that states the procedure performed was more extensive than the original planned procedure or, if other procedures were performed on the same day although indpendently of cpt 11900, you could use a modifier 59 to identify services that are not normally reported together, but were appropriate under the circumstances. There are quite a few modifiers that could be used in conjunction with cpt 11900 based on a particular set of circumstances.