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Thread: modifier question

  1. #1

    Lightbulb modifier question

    AAPC: Back to School
    I have a modifier question. If a surgeon is billing multiple procedures and one is listed seperate procedure does this still require a modifier 59.

    Thank you so much for your input

    Linda Umlah, CPC

  2. #2
    Join Date
    Apr 2007
    Madison Area Chapter in Madison WI


    To be able to determine if Modifier 59 is appropriate, you need to determine if the "separate procedure" is an integral component of another procedure performed. If it is an integral component, it is not separately reportable and Modifier 59 would not be appropriate. I hope this is helpful.
    Happy Coding, Claudia

    Claudia Yoakum-Watson, CPC
    Coding, Compliance, & Reimbursement Solutions
    ccrsconsulting.com - website

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