Results 1 to 4 of 4

Using modifier 59 with RT and LT

  1. #1
    Question Using modifier 59 with RT and LT
    Clearnace Sale
    I have a doctor who bills for tubes as:

    69436, RT
    69436, LT, 59

    At a seminar he just attended, he was told that he doesn't need the
    59 since they are marked RT and LT. Is this true? He was told that this would "red flag" the claim.
    Last edited by Kellyj0h; 02-10-2010 at 01:02 PM. Reason: misspelled a word

  2. #2
    Columbia, MO
    the 59 is not needed when you use the LT and RT. As far as flagging the claim this is entirely possible since the 59 is a flagged modifer for overutilization.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Agree !!
    Walker Bachman, CPC, CPPM

  4. #4
    Overland Park, KS
    I am in complete agreement. Modifier 59 should only be used as a last resort; when no other modifier is appropriate.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 01:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 12:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 07:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 12:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 03:59 PM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.