AMA CPT® Assistant - 2010 Issue 12 (December)

Modifier 59 (Q & A) (December 2010)

December 2010 page 16a Modifier 59 Question: When is it appropriate to report Modifier 59? Answer: Modifier 59, Distinct Procedural Service, 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 is not intended to be appended to evaluation and management (E/M) codes. Rather, modifier 59 is appended to the procedure code to designate that procedure as a “distinct procedural service.”...

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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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