AHA Coding Clinic® for HCPCS - 2014 Issue 2

Proper use of modifier 59

This is a special edition article provided by the Centers for Medicare & Medicaid Services (CMS) for further clarity of existing policy regarding the proper use of modifier 59. On June 2, 2014, modifications were made to Examples 8 and 11 of the article with all of the other information remaining the same. As the Central Office on HCPCS continues to receive coding inquiries regarding modifier 59 we decided to present this article in its entirety as published by the Medicare Learning Network® (MLN). The Medicare National Correct Coding Initiative (NCCI) includes Procedure-to-Procedure (PTP) edits that define when two...

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