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Modifier 80, 59

  1. #1
    Default Modifier 80, 59
    Medical Coding Books
    Say You Have Two Distinct Procedure, Both Assisted On.

    How Do You Sequence The Modifier.

    59 & 80.

    Which Comes First.

    Example.

    49xxx.80
    49xxx.59,80

  2. #2
    Location
    Madison Area Chapter in Madison WI
    Posts
    113
    Default
    Quote Originally Posted by daniel View Post
    Say You Have Two Distinct Procedure, Both Assisted On.

    How Do You Sequence The Modifier.

    59 & 80.

    Which Comes First.

    Example.

    49xxx.80
    49xxx.59,80
    Daniel, You are probably going to get a variety of answers on this one. Here's my take on it. First, strictly from a coding perspective, I'm not sure it matters. From a reimbursement perspective, both of these modifiers impact the reimbursement. If a service is bundled, the 59 should be the first modifier. The logic is that some systems don't read multiple modifiers and if the 59 isn't the first modifier the carrier doesn't know it's distinct. Having said that, each carrier system can be different. You might want to check with the carrier. I hope this is helpful.
    Happy Coding, Claudia


    Claudia Yoakum-Watson, CPC
    Coding, Compliance, & Reimbursement Solutions
    [email]ccrsconsulting@tds.net
    ccrsconsulting.com - website

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