tci General Surgery Coding Alert - 2015 Issue 1

CCI Impact: Check Your Modifier 59 Use in 2015

Get ready for 4 new X{EPSU} choices. You probably rely on modifier 59 (Distinct procedural service) when your surgeon performs two separate procedures for the same patient on the same day — but you might need to stop that habit. That’s because frequent modifier 59 misuse has driven CMS to create four new, more precise modifier options for reporting your distinct service claims. Read on to make sure you don’t get caught short and miss legitimate pay opportunities for your general surgery practice in 2015. 59 — The Great CCI Unbundler Sometimes your surgeon performs bundled procedures...

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