AHA Coding Clinic® for HCPCS - 2018 Issue 2; Subsets of Modifier 59

Subsets of Modifier 59

The Central Office on HCPCS continues to receive requests for coding assistance regarding the subsets of Modifier 59, Distinct Procedural Services. Modifier 59, a National Correct Coding Initiative (NCCI) associated modifier, is used to indicate that two or more procedures were performed at different anatomic sites or different patient encounters. As defined in the CPT coding manual: Modifier 59, Distinct Procedural Service — Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day. Modifier 59 is used to identify procedures/services, other than...

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