tci ED Coding & Reimbursement Alert - 2004 Issue 6

Employ Modifiers -59 and -51 to Separate Related Codes

Modifier -59 is for procedures that are not reported together in most cases When a physician performs multiple procedures in a single visit -- a common occurrence in an emergency department -- you'll likely use either modifier -51 or modifier -59 to prove that you aren't trying to double-dip on your claim. Keeping the rules straight on both of these modifiers can be hard, especially on an especially hectic day in the ED. We'll take a closer look at these modifiers, along with some expert tips to keep in mind when you report them on your claims. Separate Related...

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