DecisionHealth, DecisionHealth - 2014 Issue 1 (January)

Mind your modifiers: Code only non-component diagnostic tests separately from surgery

Carefully evaluate your use of modifier 59 (Distinct procedural service) for services that would otherwise be inclusive when billed on the same patient for the same date of service now that Medicare has made changes to Chapter 1 of the 2014 National Correct Coding Initiative (CCI). As if that weren’t enough, Medicare contractors also are limiting your use of 59 for repeat procedures.

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