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Podiatry Coding & Billing Alert

Modifier Guidelines:

Master Your Podiatry Modifier 59 Use with 4 Guidelines

Published on Sun Aug 15, 2010

Not adhering to the correct criteria could get you 'red flagged.'A modifier in the right place at the right time is likely to get you a prompt and fair reimbursement. You use one of the most important modifiers - modifier 59 (Distinct procedural service) -- so often that you think you know everything there is to know about it. Review essential facts about modifier 59 and avoid hitting a blank wall before it's too late.Guideline 1: Know Modifier 59's Criteria When You See ItThe right combination of a podiatrist's procedure and a modifier can make or break your claim. If you want to be able to interpret a modifier correctly, read it like a story. Through modifiers, payers know what transpired during a procedure without having to go read every operative report, says Susan Ward, CPC, CPC-H, CPC-I, CPCD, CEMC, CPRC, coding and billing manager in Phoenix.In the case of modifier 59, [...]
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