CPT Modifier 51
Multiple procedures performed same date of service by the same provider.
Guidelines and 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.
- Complete definitions of multiple procedure indicators are available in CMS Pub. 100-04, Chapter 23 (PDF, 818 KB) in the Addendum