Modifier 51 is used in medical coding to indicate that multiple procedures were performed during the same session. It signifies that the primary procedure is the first listed, and any subsequent procedures are secondary and may be subject to reduced payment. Importantly, modifier 51 should not be applied to codes that are exempt from its use, such as certain surgical procedures and those with specific modifiers. This modifier helps ensure accurate billing and reimbursement for healthcare providers.
Modifier -51
modifier -51
multiple procedures
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.
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
yes
Modifier -51 is used in coding to indicate that multiple procedures were performed during the same session. For the code 51797, which refers to a specific procedure related to the urinary system, you would add modifier -51 if you are reporting multiple procedures and the payer requires it to indicate that the primary procedure is being billed alongside additional ones. However, if 51797 is the only procedure being billed, then modifier -51 is not necessary. Always check with the payer’s guidelines for specific requirements.
add-on
Modifie 51 is appended to indicate that multiple surgeries performed on the same day, during the same surgical session.