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8 Cards in this Set

  • Front
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Mod 22

increased procedural services, service is greater than usual


Samples:


excessive blood loss


excessively large surgical specimen


extensive trauma


significantly complex not billed separately

Mod 26 and TC

diagnostic test with equipment not owned


26-professional component (administration or interpretation)


TC-technical component, pays for operation and maintenance of equipment



Mod 51

multiple procedures

Mod 58

append during the post-operative period:


-subsequent procedure is related to the underlying procedure prompting the initial surgery


-goes beyond the work performed


-do not use for follow up due to surgical complication or post operative findings


-for complication use mod 78

Mod 59

distinct procedural service to identify procedures not normally reported together, may apply when:


-sees a pt during a different session


-treats a different site or organ system


-makes a separate incision/excision


-tends to a different lesion


-treats a separate injury


-do not use on E/M codes



Mod 76 and 77

repeat procedures mostly used with serial ECGs and chest x-rays on same date

Mod 79

unrelated procedure or service by the same physician

remember HCPCS

G codes