What is the proper way to code a claim for more than one surgical procedure performed on the same day?
CMFHP follows AMA and CMS guidelines to determine which CPT codes are to be identified for a payment reduction following multiple surgery guidelines. All services should be submitted on the same CMS1500 claim form. The highest relative value procedure will be paid at 100% of the allowable. Subsequent procedures should be billed with a 51 modifier. Subsequent procedures will be reduced, if applicable, following the multiple surgery guidelines outlined in your Provider Administration Manual. Bilateral procedures should be billed on one line with the 50 modifier. It is not correct to bill multiple units to signify a bilateral procedure.
