Modifier 51
Policy Update #: POLMOD51090124
Effective Date: September 1, 2024
Current State: N/A
Future State: Modifier 51 is used to indicate multiple procedures other than evaluation and management (E/M) services performed by the same provider on the same day. The Modifier 51 policy edit will be effective September 1, 2024. This edit will fire when Modifier 51 is inappropriately appended to a line item. This modifier should not be appended to designated "add-on" codes, procedure codes with the highest relative value units (RVU), or when the use of Modifier 51 is not appropriate with the procedure code.
Applicable Plan(s): Commercial, Medicare, and Medicaid
Applicable Policy: Policy Number: 3823-Modifier Usage
Business Owner: Cost of Care