tci ED Coding & Reimbursement Alert - 2004 Issue 6

2 Tips Help You Correctly Use Modifier -59

Modifier is not needed when the doctor treats different sites When you file claims with modifier -59 (Distinct procedural service), experts recommend keeping these facts in mind:1. Multiple closures on different body sites or of different types (that is, simple, intermediate, or complex) aren't ever bundled together, so leave modifier -59 off of claims for multiple closures on different sites. 2. If you're not sure whether you can unbundle codes with modifier -59, be sure to check the National Correct Coding Initiative (NCCI) edits. If the codes you are reporting have indicators of "1" next to them, this means...

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