Sep 1st, 2014
Double dipping is a risk if you don’t know the rules. By Angela Clements, CPC, CEMC, COSC Modifier 59 Distinct procedural service is used when two codes are not normally reported together (for instance, one code may be bundled with the other), but may be billed together under certain circumstances (for instance, if the two ...
Oct 1st, 2012
By Sarah W. Sebikari, MHA, CPC Colorectal cancer is the second leading cause of death in the United States. According to the American Cancer Society, if all adults 50 and older were screened for colon cancer, we could cut the death rate from this disease in half, saving approximately 25,000 lives each year. Colonoscopy is ...
Jun 1st, 2010
By G. John Verhovshek, MA, CPC Used appropriately, modifier 59 Distinct procedural service is a powerful reimbursement tool allowing for separate payment of distinct services that, under usual circumstances, would not be billed together. For this same reason, the modifier also allows ample opportunity for misuse and abuse. The competent coder will apply modifier 59 ...
May 1st, 2009
This is a good example of why coders should always begin their diagnostic search in the Alphabetic Index to Diseases, Volume 2, of ICD-9-CM. If the coder skips that step and jumps right to the Neoplasm Table, the nature of the neoplasm is missed altogether. Mucosa associated lymphoid tissue (MALT) is a form of lymphoma, ...