tci ED Coding & Reimbursement Alert - 2019 Issue 3

NCCI Edits: CMS Offers Update to Spell Out When Modifier 59 Applies to NCCI Edits

If you’ve ever been confused about when to separate bundles, here are the facts. You’ve certainly heard that modifier 59 is supposed to only be used as the “modifier of last resort,” but how do you know when your ED is reporting it correctly? CMS has tried to make that determination a little simpler with a transmittal update. ED Coding and Billing Alert checked out the changes and picked out the most important facts – read on to find out the scoop. Background: On December 28, CMS issued an update to Transmittal 4188, with an...

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