59  Distinct Procedural Service: Under certain circumstances, it may be necessary to indicate that a...

CPT^® Code Modifiers

59 - Distinct Procedural Service: Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day. Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances. Documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. However, when another already established modifier is appropriate it should be used rather than modifier 59. Only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. Note: Modifier 59 should not be appended to an E/M service. To report a separate and distinct E/M service with a non-E/M service performed on the same date, see modifier 25.

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Additional Code Information includes: APC Status Indicator Assistant Surgeon (80, 82) Bilateral Surgery (50) CCS Clinical Classification Co-Surgeons (62) Diagnostic Imaging Family Facility MUEs Global Days Hierarchical Condition Categories (HCC) Major Complications or Comorbidities (MCC/CC)   Medicare Status Code Multiple Procedures (51) Non-Facility MUEs OTS Orthotic PC/TC Indicator (26) Physician Supervisions Team Surgery (66) Type Of Service (TOS) and more... Access to this feature is available in the following products: Find-A-Code Professional Find-A-Code Premium Find-A-Code Elite Find-A-Code Facility Base Find-A-Code Facility Plus Find-A-Code Facility Complete HCC Standard HCC Pro sign INsign UP

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