The -59 modifier is used to report a “distinct procedural service”. Proper use of the -59 modifier can result in payment for services that are usually denied when performed in the same case. This is ...
The Centers for Medicare and Medicaid Services acknowledges that there are code combinations that may warrant an exception in reporting based on clinical documentation. Coders tend to err on the side ...
In addition to the creation of several new CPT codes for 2015, one CPT change is not about a new code but rather an old modifier. Modifier –59 is used when we want to communicate with the insurance ...
On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...