use of modifier 59 on pulmonary procedures

Messages
11
Location
Indianapolis
Best answers
0
use of 59 modifier on pulmonary procedures

--------------------------------------------------------------------------------

We have a situation in our Pedicatric doctors office verses our billing office. we bill a 94760 oxygen sat single with an E/M-25 only. our billing office have the system set up to edit the pulse oximetry to add the 59 modifier. i don't think i should be adding the 59 modifier on the first procedure line and it's the only procedure. our billing office says it's per the insurance guidelines, policies and from the appeals of denied claims to justify adding the 59 modifier. Should I be concern about this? Will this put our Pediactric office in jeopardy of an audit?
 

dblue

New
Messages
2
Best answers
0
I agree, we never got any payment for the pulse ox., but we did receive payment for the aerosol treatments, by using a 59.
 

takore

Contributor
Messages
18
Best answers
0
Hi,

I thought since 2007 Pulse Ox is only payable when it is a Facility bill and not on Professional because it's a Technical Component only?

Tina
 
Top