What modifier is used when two different procedures are performed by the same provider on the same day?

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The correct modifier to indicate that two different procedures are performed by the same provider on the same day is modifier 51. Modifier 51 is specifically designed to identify multiple procedures performed during the same session by the same provider. This modifier tells insurance payers that the patient received more than one procedure, and it helps ensure that the correct payment is issued for each individual procedure without misrepresenting the medical necessity of conducting multiple procedures.

Modifier 25 is used to indicate that a significant, separately identifiable evaluation and management service was performed by the same provider on the same day as another procedure or service. It does not apply when referring to two different standalone procedures.

Modifier 59 is utilized to indicate that a procedure or service was distinct or independent from other services performed on the same day, often to distinguish a specific procedure that is separate from a primary procedure. It is not specifically for two different procedures.

Modifier 50 represents bilateral procedures, indicating that a procedure was performed on both sides of the body during the same session, which does not pertain to the question about performing two different procedures.

Thus, when two distinct procedures are performed on the same day, modifier 51 appropriately highlights this, allowing for correct coding and reimbursement.

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