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Wiki Modifier 59 required for conscious sedation?

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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.
 
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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