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AMA CPT® Assistant - 2023 Issue 7 (July)
Reporting CPT Modifiers 51 and 59 (July 2023)
July 2023 pages 1-10
Reporting CPT Modifiers 51 and 59
A modifier is used to report or indicate that a performed service or procedure was altered by some specific circumstance and
noted by the physician or other qualified health care professional (QHP) but not changed in its definition or code. Modifiers
enable health care professionals to effectively respond to payment policy requirements established by Medicare and other third-party
payers, and their definitions are listed in Appendix A of the Current Procedural Terminology (CPT®) code set.
This article discusses and provides examples of the appropriate use of modifier 51...
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Welcome to the ultimate resource for mastering CPT coding – the CPT® Assistant. This indispensable tool, brought to you by the American Medical Association (AMA), is designed specifically for medical coders, auditors, and billers who strive for accuracy and efficiency in their daily work with patient charts. Whether you are validating codes, training staff, or appealing insurance denials, CPT Assistant provides the authoritative guidance you need to excel.
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Expert Insights: Explanations and interpretations by the CPT Assistant Editorial Board.
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