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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: Hope this helps!
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!
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