Hi Sabrina Khan!
Great question, here are some helpful tid-bits!
for 21210 & 21215:
the 52 modifier may be used if bone was not harvested from the patient
For all:
the 51 modifier may be used to indicate multiple surgeries on the same day, although, depending on what Medicare Part B jurisdiction you are in, some of them state on their website that "Note: Medicare doesn’t recommend reporting Modifier 51 on your claim; our processing system will append the modifier to the correct procedure code as appropriate.". Here is a link to this information on Jurisdiction H's website:
https://www.novitas-solutions.com/webcenter/portal/MedicareJH/pagebyid;jsessionid=ihcWI3lPv-kNAyeC68X7uq5zdgopR0f7EuCxn1MHHCazGo4hYVE4!1950936358!-523727595?contentId=00144532&_afrLoop=58864671961150#!%40%40%3F_afrLoop%3D58864671961150%26contentId%3D00144532%26_adf.ctrl-state%3D52gl28klr_4 I have also been told that using the JO qualifiers in the red shaded line of the line item for bone grafts and implants can help with smoother claim processing.
The following are the codes for areas of the oral cavity, reported with the JO qualifier:
• 00 : Entire oral cavity
• 01 : Maxillary arch
• 02 : Mandibular arch
• 10 : Upper right quadrant
• 20 : Upper left quadrant
• 30 : Lower left quadrant
• 40 : Lower right quadrant
Examples of how this would look on the medical claim can be found in the NUCC's CMS 1500 claim form manual here, starting on page 46 & 47:
http://www.nucc.org/images/stories/PDF/1500_claim_form_instruction_manual_2012_02-v6.pdfHope this helps!