Re: Modifier 59
Erica, thank you for your in-depth response. I believe I understand the issue of bundling/unbundling and the use of modifier 59 more clearly now, but need additional clarification from the physician...
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www.ericacodes.com/Unbundling.htmwww.cms.hhs.gov/NationalC...fier59.pdf Erica
View ArticleRe: Modifier 59
Usually, if you use a 59 modifier, the payer will require you to submit documentation, so your claim would probably end up on paper anyway.-59 modifier is not really as scary as some people make it...
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If modifier can be used, then you could resubmit the claim with modifier 59 in the first modifier field instead of sending a covering letter or other stuff..$0.02
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Thank you for your quick response! Yes, I checked CCI edits and the superscript indicates a modifier can be used to differentiate services. Just not really familiar with CCI edits and have never used...
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Did you check the National correct coding initiative for the respective quarter (as per the DOS) and see if modifier can be used. I dont have access to the same right now. you can find it in...
View ArticleModifier 59
I've read various posts regarding this modifier and basically, the point seems to be stay away from modifier 59. However, I have a situation which seems to warrant its use. Our ophthalmologist...
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