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Guest
#1 Posted : Monday, December 4, 2017 12:20:47 PM(UTC)
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Guest

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Hi! I am new to the medical billing side, our office is just starting to dip it's toes in the water. I am trying to fill out a form for some surgical extractions that were completed in our office. I am seeing that the 41899 is the code that I can use to bill if I choose not to bill the D code. I am confused about a modifier though, how do I know which modifiers to use and if I even need one at all?

Thanks!
courtneydsnow
#2 Posted : Monday, December 4, 2017 6:43:46 PM(UTC)
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courtneydsnow

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Hi Guest!

Yep you got it on the procedure code side of it :)

As far as modifiers - there is not a standard modifier code you will need for surgical extractions, however if there is a special situation you might use one. For example:

-22 Unusual Procedural Services
-52 Reduced Services

You may want to consider using the JP qualifier.

Here is some additional information about the JO and JP qualifiers:

The following are the codes for tooth numbers, reported with the JP qualifier:
• 1 –32: Permanent dentition
• 51 –82: Permanent supernumerary dentition
• A –T: Primary dentition
• AS –TS: Primary supernumerary dentition

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-v5.pdf


Hope this helps!
CarolPerez
#3 Posted : Tuesday, December 5, 2017 6:55:04 AM(UTC)
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CarolPerez

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Joined: 12/5/2017(UTC)
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Looking for the same. Thanks a lot. it is very helpful.
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