Forum - Questions & Answers

Jun 5th, 2014 - Sha12 62 

modifier use

Pt came in on May 20th for skin biopsy. A week later, pt came back & doc did a wider excision. Do I need a modifier or just bill for the excision code? Thanks!

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Jun 5th, 2014 - LBAROGIANIS 250 

re: modifier use

What code did you use on may 20th?

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Jun 9th, 2014 - Sha12 62 

re: modifier use

I used 11100 (Biopsy) on May 20th.

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Jun 9th, 2014 - Codapedia Editor 1,399 

re: modifier use

Let me tell you how to answer this question.

Go to the CMS website and check on the global days for the service.

http://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx

Look and see how many global days the procedure you've performed has.

If 0, then no modifier is needed.
If 10 or 90, and it is a staged or related procedure, use modifier 58.

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