Results 1 to 3 of 3

59 modifier

  1. #1
    Default 59 modifier
    Medical Coding Books
    Is it appropriate to put a 59 modifier on an add-on code? If so, where could I find this in writing? Thank You

  2. #2
    Fort Wayne, IN
    I don't believe you can put a modifier on an add on code
    Tracy Hecox, CPC

  3. #3
    North Carolina
    Unfortunately, some carriers create edits that require some non-conventional coding tactics. I do have some carriers that will deny an additional "add on" code as a duplicate. It's very clear to me that I'm trying to report multiples levels (example-spine case) but there are occasions when the carrier does deny them without modifier 59. I am one who uses modifier 59 cautiously but there are carriers who obviously don't hold the same standard.

    I have found one CPT Assistant (December 1999) that provided a case study. This case study happened to be a spine case. One of the CPT codes discussed was 22851 (which is an "add on" code). This particular CPT Assistant suggested submitting the 2nd 22851 with modifier 59 to indicate that the instumentation was placed at a separate identifiable site.

    This may be a situation where this will vary from carrier to carrier...

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

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.