Modifier 51 is a Current Procedural Terminology (CPT) code modifier used to indicate that multiple procedures were performed during the same session by the same provider. It signifies that the primary procedure is being reported first, followed by additional procedures that are considered secondary. This modifier helps to ensure that payment is appropriately adjusted to account for the performance of multiple services, as typically, the first procedure is reimbursed at full value while subsequent procedures may receive reduced payment. It is important to note that modifier 51 should not be used with certain codes that are exempt from multiple procedure reductions.
Appendix E
Appendix E
For CPT code 59510 (Vaginal delivery after previous cesarean delivery) and CPT code 58611 (Laparoscopy, surgical, ablation of the endometrium), the appropriate modifier to use is modifier 51 (Multiple procedures). This modifier indicates that multiple procedures were performed during the same session, which may affect reimbursement. However, it's essential to verify with specific payer guidelines, as they may have different requirements.
Its refer to modifier 63, the instruction is to not report modifier 63 in conjunction with CPT code 65820.
what modifier do i use for 96374
CPT
Modifier -51
no
is it 59
You can use modifier 32 for mandated service.
modifier -51
Circle with line through it - Means modifier -51 is not assigned to the code and are not add-on procedures.