Wiki modifer 59

[boozaarn]

Should I use 59 on the component or on the less expensive charge?

 

[sbicknell]

Do you have an example

 

[boozaarn]

yes,

abdominal u/s complete with doppler for cirhosis.

 

[Herbie Lorona]

are you getting a denial when you bill them together? What are the two codes you are billing?

 

[boozaarn]

well

i think its 76700 and 93975 for evaluation of portal htn

 

[Herbie Lorona]

The modifier would go on the 76700

 

[Teresa Collins]

There's an excellent article in the June 2010 Coding Edge Magazine regarding modifier 59 on page 34. I found it to be very helpful and thought I'd mention it here.

Hope this helps!

Teresa Collins, CPC

 

[boozaarn]

guru

why to 76700 ?

 

[Herbie Lorona]

Code 76700 is a component of 93975 but a modifier is allowed in order to differentiate between the services provided.

 

[boozaarn]

sooo

(I do understand your answear) but how can it be that a component of service is more expensive than the total service itself?