AMA CPT® Assistant - 1999 Issue 1 (January)

Modifiers -59, -25 (Q&A) (January 1999)

January 1999 page 10b Coding Consultation Modifiers -59, -25 (Q&A) Question Please explain the difference between modifiers -59 and -25. Is modifier -59 intended to be appended to evaluation and management codes? AMA Comment Modifier -59 is intended to be used to indicate that a procedure or service is distinct or independent from other services or procedures performed on the same day. This modifier is used to identify procedures/services that are not normally reported together, but are appropriate under the circumstances, and not intended to be appended to evaluation and management (E/M) codes. Rather, modifier -59 is appended...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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