Proper Use of Modifier 59

May 27, 2014
Rick Gawenda

The Centers for Medicare and Medicaid Services has issued a special article to clarify the proper use of modifier 59. The article only clarifies existing policy. The article defines the definition of modifier 59 and provides several situations and examples when modifier 59 should be utilized. The article also defines which modifier should be used when a physician bills an E&M code on the same day as a non E&M code such as a physical therapy evaluation being billed incident-to a physician. To read the complete article, click

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