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Wiki ASC Billing modifiers
- Thread starter kdornes
- Start date
ARCPC9491
True Blue
The -51 modifier is a physician modifier only and should not be used on ASC claims, unless specifically required by the payor
creagerc
New
I'm not quite sure why they told you not to use 59 anymore. I haven't heard that. Especially since it's an approved ASC modifier. 51 is for phsyician use only and I believe that if you append it to a claim it will deny. Medicare sometimes throws 51 on our EOBs but i have never sent one out the door.
Why did they tell you not to use 59 anymore?
I believe the only concern with 59 is that some facilities tend to abuse it and it raises flags for audits/investigations. As long as you stay within the guideline of the modifier then you should be fine to use it.
Why did they tell you not to use 59 anymore?
I believe the only concern with 59 is that some facilities tend to abuse it and it raises flags for audits/investigations. As long as you stay within the guideline of the modifier then you should be fine to use it.