• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Modifier -59 ophthalmological testing

Ophthalmology-specific usage of modifier modifier -59

  • Total voters
    0
  • Poll closed .
Create Wiki
P

Plaw4444

Networker
Messages
25
Location
Gold Canyon, AZ
Best answers
0
This was handed down from Corporate, and I plan to dispute this, if I can receive confirmation that the payment modifier usage -59- is in fact erroneous/unnecessary:
claim example:
99214
92134
92275 -59 -Lt

CPT codes 92134 & 92275 are separate diagnostic tests (SCODI, ERG), so why would modifier -59 be necessary? :confused:
Per Encoder Pro, there are no CCI Edits for billing the above codes together...and no modifiers are required.

Your response would be appreciated. I have made our Vice President aware of my post to you out there-as he originally sponsored me for the certification. Please let's show my corporate how AAPC rallies to their fellow AAPC certified coders! :cool:
 
You must log in or register to reply here.
Top