• 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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Modifiers - difference between 51&59

CodingKing

True Blue
Messages
3,955
Best answers
1
51 is related to Multiple Surgical Reduction. Its to indicate which codes are to reduce. Primary procedure pays 100% and subsequent procedures pay a lower percent of allowed. Although many payers automatically apply the modifier and if you put it on the wrong code the system will move it to the lower RVU procedure

59 is a NCCI bundling bypass modifier to show the secondary surgery meets the criteria to be separately reimbursed and not considered included in the reimbursement for the primary surgery.
 
Top