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Thread: Modifer 59 and Ultrasounds

  1. #1
    Join Date
    Apr 2007
    Salem, NH

    Default Modifer 59 and Ultrasounds

    AAPC: Back to School
    I have a modifer question.
    We bill out for Saline Infusions 58340, Pelvic ultrasound 76856 -and a 76830 transvaginal ultrasound. We have been billing them out with a Modifer 59 on both the ultrasounds. Is this necessary or not? For some carriers they pay without the 59 at all and some only pay if you have the modifer on both. Can anyone shed some light on this for me.


  2. #2
    Join Date
    Apr 2007
    Columbus GA

    Default 59 mod

    The appropriate coding reports the higher valued of the procedure first, unmodified, and add -59 modifier to the second service to indicate that it is separately reportable. Hope this helps.... it is what we always do.

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