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The modifier that is exempt from being used in the Medicine section is Modifier 51. It is used to identify the second and subsequent procedure to third party payers. This code shows that there are multiple procedure discounts that should be applied to the reimbursement for the code. This means that a doctor performed two or more surgical services during one treatment visit.

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An example of a code in the Medicine section is 92310. The guideline states that this code is: Prescription of the optical and physical characteristics of and fitting of contact lenses with medical supervision of adaptation; corneal lens, both eyes, except for aphakia.

WC 106

References

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