Wiki Order when using modifiers Q7-9 and 59

[jojokat]

Good afternoon all,

Having a difference of opinion here in the office on the correct order when using both modifier 59 and the Q7-Q9 modifier on the same procedure code 11721. I was taught and had the lesson showing that modifiers affecting payment (59) comes before any reporting modifiers (Q7-Q9). Today I've been instructed to use the Q modifier first and the NCCI modifier (59) second. Who's correct?

Thanks in advance,
Josie Gunn, CPC

 

[espressoguy]

I agree with you. I've just checked some past charges and I've always put the 59 before the Q modifier.