HCPro, JustCoding Outpatient - 2020 Issue 32 (August)
Q&A: Using modifier -59 to bypass a procedure-to-procedure edit
August 25th, 2020
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Article Overview
This article reviews a coding question about whether modifier -59 can be used to address an NCCI procedure-to-procedure edit involving toe-related services. It is aimed at coders and billing staff who work with CPT reporting, NCCI edits, and modifier use, and it summarizes guidance from the 2020 NCCI Manual in a question-and-answer format.
Why This Topic Matters
It helps readers recognize when a bundled-edit scenario involves overlapping anatomical sites and when the article’s cited guidance says the modifier should not be used, supporting more accurate reporting and fewer claim errors.
What You Will Learn
- How the article frames an NCCI procedure-to-procedure edit question
- What general topic areas the cited NCCI guidance addresses
- How the article discusses modifier use in relation to toe and nail services
- Which coding references and professional resources are mentioned in the discussion
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Practice managers
- Podiatry coding staff
Codes Discussed
Modifiers Discussed
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