Modifier 59 required for conscious sedation?

RobertW

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Procedure is 43239 (upper endoscopy) with conscious sedation 99152. I've been told 99152 requires modifier 59 (distinct procedure). Is this correct? It doesn't seem necessary.
 
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in practicode (the AAPC Internship) we did not use the modifier 59 perhaps its the same as the modifier 51 that this exempt from. Hope this helps
 
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