CPT Modifier 51

Description
Multiple procedures performed same date of service by the same provider.

Guidelines/Instructions

  • Refer to the "Mult Surg" indicator in the Medicare Physician Fee Schedule database (MPFSDB) to determine if CPT modifier 51 is applicable to a particular procedure code
  • Note: We strongly recommend that you do not submit this modifier to Palmetto GBA. The MCS Standard Claim Processing System will automatically append this modifier to indicate when special pricing rules have been used to calculate the reimbursement, as described below.
  • This modifier may not be submitted with designated 'add-on' codes.

Reference

Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 


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