In Billing
Jun 7th, 2019
Clinical Consensus Statement: Balloon Dilation of the Eustachian Tube (BDET), published by the American Academy of Otolaryngology  ̶  Head and Neck Surgery, June 4, is important because BDET is newer technology and may be rejected for payment by third-party payers as “experimental” or “investigational.” The American Academy of Otolaryngology’s (AAO) statement will be integral to ...
Mar 1st, 2007
Barbara J. Cobuzzi, MBA, CPC, CPC-H, CPC-P, CHCC, CRN When used appropriately, modifier 59 tells a payer that, due to special circumstances, two codes that are normally “bundled” (by either National Correct Coding Initiative, NCCI, edits or CPT guidelines) should be paid separately. But because modifier 59 is such a powerful tool — and because providers may apply it to increase payments inappropria...