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Reimbursement Policy ManualPolicy #:Policy Title:Modifier 51 Multiple Procedure Fee ReductionsSection:ModifiersRPM022Subsection: Surgery & Nonsurgical (both)Scope: This policy applies to the following

How to fill out modifier 51 and multiple

How to fill out modifier 51 and multiple

1. Identify the primary service procedure code.
2. Determine if any additional procedures were performed during the same session.
3. List each additional procedure code that qualifies for modifier 51 or multiple billing.
4. Add modifier 51 to the additional procedure codes to indicate they were performed during the same session as the primary service.
5. Submit the claims with the appropriate documentation to support the use of modifier 51 or multiple billing.

Who needs modifier 51 and multiple?

1. Doctors, surgeons, and other healthcare providers who perform multiple procedures during a single patient encounter.
2. Medical billing and coding professionals who are responsible for ensuring accurate reimbursement for services rendered.

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What is modifier 51 and multiple?

Modifier 51 is a CPT coding modifier used to indicate that multiple procedures were performed during a single surgical session. It signals that these procedures should be reimbursed at a reduced rate.

Who is required to file modifier 51 and multiple?

Healthcare providers, specifically those submitting claims for multiple surgical procedures performed on the same day, are required to file modifier 51.

How to fill out modifier 51 and multiple?

To fill out modifier 51, append it to the CPT code of the secondary procedure on the claim form. Ensure that the primary procedure is reported without the modifier, while any additional procedures receive modifier 51.

What is the purpose of modifier 51 and multiple?

The purpose of modifier 51 is to provide payers with information that indicates multiple procedures were performed, which allows for appropriate reimbursement adjustments.

What information must be reported on modifier 51 and multiple?

When using modifier 51, the procedure codes, the number of procedures performed, and the appropriate modifiers should be reported to ensure proper claims processing.