Laboratory tests done more then once require which CPT modifiers?

Is it necessary to use modifier 59, Distinct procedural service, when laboratory tests contain the same CPT
code more than once? For example, flow cytometry studies may involve reporting 88184 and 88185 x3. Would modifier 59 be appended to the second and third use of 88185?

Answer:
From a CPT coding perspective, it is not necessary to append modifier 59, Distinct procedural service, to CPT add-on codes because these codes represent additional or incremental work associated with the basic procedure performed. Code 88185, Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first mark er), is an add-on code reported in conjunction with 88184.


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