tci Part B Insider - 2004 Issue 29

-59 Modifier Under Scrutiny, Expert Warns

The -59 modifier may get your claims paid, but you could be storing up a world of hurt for later if you overuse it. "It's overused just to get through the edits," consultant Annette Grady with Eide Bailly in Bismarck, ND says of the -59 modifier. It's often hard to figure out when to use -59appropriately, but it's vital to do so.  The Centers for Medicare & Medicaid Services is currently looking closely at -59, Grady believes. While each carrier and payor has different claims review software, it's a safe assumption that many carriers will single...

To read the full article, sign in and subscribe to tci Part B Insider.

Thank you for choosing Find-A-Code, please Sign In to remove ads.