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tci ED Coding & Reimbursement Alert - 2007 Issue 4

Maximize Multi-Code Claim Revenue With Modifiers 59, 51

Remember to attach modifier 51 to lower-valued codeED physicians often have to perform more than one surgical procedure during the same encounter. When this occurs, you-ll likely need to include modifier 59 (Distinct procedural service) or 51 (Multiple procedures) on your claim to show the insurer you aren't trying to overcode the encounter.You-ll See Modifier 59 Often in EDCoders must be comfortable using modifier 59 in their coding because the modifier is used so often in the fast-paced ED, says Dawne Beckley, RHIT, CPC, consultant with The Rybar Group Inc. in Fenton, Mich. In a nutshell: Coders use...

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