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DecisionHealth, DecisionHealth - 2011 Issue 9 (September)

Mind your modifiers: Consider 76 instead of 59

Inappropriate use of modifier 59 (distinct procedural service) continues to haunt providers and draw the attention of payers and auditors. To help clinicians break their modifier 59 dependence, Medicare and commercial carriers are pointing providers to modifier 76 (repeat procedure by same physician or other qualified health care professional).  

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