modifier usage

20610 for right shoulder and 20610 for right hip and 27096 sacroiliac joint injection done at the same encounter.

Would this be billed as
27096
20610XSRT
20610XSRT

Thanks

Melinda B. Webb, CCS
Ulrich Medical Concepts
mwebb@ulrichbilling.com
Tennessee billing

Comments

  • edited May 2017
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    In my opinion, the 'X' modifiers weren't necessary due to the detailed
    descriptors of ICD10. Whoever created them has not come forward to be
    flogged in public.



    I would code the following:



    27096



    20610-59 (with ICD10 for dx - right hip)



    20610-59 (with ICD10 for dx - right shoulder)



    Some payers might want 20610 x 2 with both dx's.



    Hope this helps,



    Karen A. Hurley, BS, CMM, CPC, CNA

    President, HPMSI

    PO Box 409

    Parrish, FL 34219

    Tel: (941) 776-4822

    Fax: (240) 368-0059

    Web: www.hpmsi.com



    Since 1996, Celebrating 20 years of Service to Physicians









    From: Melinda Webb Billing [mailto:mwebb@ulrichbilling.com]
    Sent: Tuesday, September 06, 2016 11:44 AM
    To: Multiple recipients of list PARTB-L
    Subject: [partb-l] modifier usage



    20610 for right shoulder and 20610 for right hip and 27096 sacroiliac joint
    injection done at the same encounter.



    Would this be billed as

    27096

    20610XSRT

    20610XSRT



    Thanks



    Melinda B. Webb, CCS

    Ulrich Medical Concepts

    mwebb@ulrichbilling.com

    Tennessee billing








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