Wiki 59 with add-on codes

[dwillia]

I know that it is not appropriate to use modifier 51 with add-on codes. Is the same true with modifier 59? I have gotten a 2nd denial for 95886 as "not a valid code". It was billed with 95904 and no modifier appended.

 

[dclark7]

This code is new for 2012 so you may want to check and make sure the insurance company has updated their fee schedule.

 

[ppt]

I add modifier 59 to nerve conduction codes only. Leave 95886 w/o modifier. I received payment fine so far from payers.