• Using Correct Combinations – Modifier 59

  • Using Correct Combinations – Modifier 59
  • The 59 modifier is one of the most misused modifiers. The most common reason it should be used is to indicate that two or more procedures were performed at the same visit but to different sites on the body. Unfortunately, many times it is used to prevent a service from being bundled or added in with another service on the same claim. It should never be used strictly to prevent a service from being bundled or to bypass the insurance carrier’s edit system. Under certain circumstances, the physician may need to indicate that a procedure or service was distinct or independent from other services performed on the same day. Modifier 59 is used to identify procedures/services that are not normally reported together but are appropriate under the circumstances. To know more visit us: http://bit.ly/2YwQVTh or email us at- info@medicalbillersandcoders.com or call us at- 888-357-3226 (Eight-Eight-Eight-Three-Five-Seven-Three-Two-Two-Six).
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