DecisionHealth, DecisionHealth - 2021 Issue 5 (May)

Modifier 59 claims return nearly $1.5 billion in Medicare payments

Mastering the use of modifiers can be lucrative business for physician practices, as the latest modifier 59 (Distinct procedural service) utilization numbers reveal. In 2019, providers pulled in nearly $1.5 billion from Medicare on thousands of codes paired with the modifier.

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