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Carcinoma of multiple overlapping sites of the bladder. Diagnostic cystoscopy and transurethral fulguration of bladder lesions (1.9 cm, 6.0 cm) are completed and a skin lesion was also removed from the left thigh. What modifier should be added to the procedure codes?

User Tommueller
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Final answer:

In medical billing, modifiers must be added to procedure codes to provide additional details about the medical services rendered, such as for diagnostic cystoscopy and transurethral fulguration with skin lesion removal. Specific modifiers depend on factors like procedure staging and relation, requiring review of full documentation for correct application.

Step-by-step explanation:

The question pertains to the appropriate application of modifiers in medical coding for procedures performed on a patient with carcinoma of the bladder, who also had a skin lesion removed. Modifiers are used in medical billing to provide additional information about the procedure performed without altering the meaning of the main procedure code.

When coding for multiple procedures like the mentioned diagnostic cystoscopy, transurethral fulguration of the bladder lesions, and removal of a skin lesion, it is crucial to apply the correct modifier to each procedure code to ensure accurate billing. However, the specific modifier would depend on factors such as whether the procedures were staged, related, or occurred during the same surgical session, and which procedure was the primary. Commonly used modifiers in such scenarios may include -51 for multiple procedures, -59 for a distinct procedural service, or -76 for repeat procedures by the same physician.

It is important for the coding professional to review the full documentation of the surgery to determine the most appropriate modifier(s) based on the specific circumstances of the procedures performed.

User Sertug
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