Modifier 51 Exemption: Which Medical Codes Don't Require It?

Codes that are already inclusive of all medical components and services can be exempt from using modifier 51 in medical billing.

Some examples include:

-Codes from the 01100-01999 range (HCPCS codes for drugs and biologicals administered through a parenteral route)

-Codes from the 90281-99999 range (HCPCS codes for medical and surgical supplies and services)

-Codes from the G0101-G0171 range (HCPCS codes for laboratory tests)

-Codes from the P9020-P9080 range (HCPCS codes for durable medical equipment)

-Codes from the A4550-A4559 range (HCPCS codes for orthotics and prosthetics)