Modifier -51
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Add on Codes Can not be billed with Modifier 51(multiple Procedures).
An awkward modifier is a modifier that interrupts the flow of the sentence. =] A modifier that interrupts the flow of the sentence
According to CPT, modifier -27 is used for "multiple outpatient hospital E/M encounters on the same date". Now according to the E/M exam study guide, it states that modifer -27 should not be used to report multiple E/M servies that are performed on the same date byt the same physician - you should combine the elements of the exam and bill one service.
A modifier that limits the meaning of another word in the sentence
the same way you would without a Pokemon modifier the same way you would without a Pokemon modifier