The symbol for a modifier -51 exempt is the modifier -27. This modifier is used to indicate that a procedure or service is distinct or independent from other services performed on the same day, and it helps to clarify that certain codes should not be subject to the multiple procedure discount rule.
add-on
Appendix E
Appendix E
Modifier -51
modifier -51
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.
multiple procedures
Circle with line through it - Means modifier -51 is not assigned to the code and are not add-on procedures.
The modifier commonly used with add-on codes is Modifier 51. This modifier indicates that multiple procedures are being performed during the same session, with one primary procedure and additional secondary procedures identified by the add-on codes. However, it's important to note that add-on codes themselves should not be reported with Modifier 51, as they are inherently understood to be additional procedures. Instead, the primary procedure should be marked with Modifier 51 if necessary.
multiple procedures, -51
Modifier -51 is used to indicate that multiple procedures were performed during the same session, but it is not typically applied to CPT code 59409, which is used for global obstetric care. Instead, modifier -51 is generally used for additional surgical procedures. Always check the specific guidelines and payer policies for proper modifier use in your context.
FALSE