Modifiers -51 and -59 (Q&A) (October 1999)

October 1999 page 11b Coding Consultation Modifiers -51 and -59 (Q&A) Question Can both modifiers -51 and -59 be appended to the same code on the same claim? Should these modifiers ever be reported on the same claim form? AMA Comment Since modifier -59 is to be used only if no more descriptive modifier is available, and the use of the -59 modifier best explains the circumstances, it would not be appropriate to append the -51 and -59 modifier to the same code on the same claim. However, there may be circumstances in which the -59 modifier is...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This brief CPT coding consultation from October 1999 addresses a common billing question about modifier reporting on a claim form. It is useful for coders, billers, and auditors who need to understand the scope of the article’s guidance and its relevance to claim editing and modifier usage in professional coding contexts.

Why This Topic Matters

Understanding the article helps readers identify whether the discussion applies to claim preparation, modifier assignment, or coding compliance review in a CPT-based workflow.

What You Will Learn

  • The article’s topic and question focus on same-claim modifier reporting.
  • The AMA comment frames the circumstances discussed in the consultation.
  • The piece provides a narrow coding guidance discussion rather than a full policy update.
  • The article is relevant to CPT modifier usage questions in professional billing.

Who Should Read This

  • Medical coders
  • Billing staff
  • Coding auditors
  • Compliance personnel
  • Physician practice administrators

Modifiers Discussed

  • CPT: -51
  • CPT: -59

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