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Ophthalmology and Optometry Coding Alert

Modifier Review:

Brace Yourself with Modifier 59 for Distinct Procedural Services

Published on Fri Oct 31, 2014

Refer to Medicare’s Correct Coding Initiative (CCI) before using Modifier 59 Modifier 59 (Distinct procedural service) indicates that two services which are generally not reported separately are appropriately reported separately under the circumstances not ordinarily encountered or performed on the same day by the same individual. You report modifier 59 when there is a: Different encounter or session; Different procedure; [...]
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