Musculoskeletal System coding

When the primary purpose of the service is the delivery of an evidence based service in accordance with a US Preventive Services Task Force A or B rating in effect and other preventive services identified in preventive services and mandates (legislative or regulatory), the service may be identified by adding 33 to the procedure. For separately reported services specifically identified as preventive, the modifier should not be used.

Modifier 47 Anesthesia by Surgeon

Regional or general anesthesia provided by the surgeon (does not include local anesthesia).

Modifier 50 Bilateral Procedure

Bilateral procedures performed at the same operative session should be identified by adding modifier 50 to the appropriate five digit code.

Example: Surgery done on both eyes is a bilateral procedure whereas on only one eye is a unilateral procedure.

Modifier 51 Multiple Procedures

Multiple procedures, other than E/M, performed at the same session by the same provider. Report the primary procedure as listed and add modifier 51 to the additional code(s).

Modifier 52 Reduced Services

Procedure partially reduced or eliminated at the physician’s discretion.medical coding training

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