In a neurosurgical practice there are additional level codes that you must bill multiple times. Some carriers do not allow them billed in units. That is exactly when the modifier 59 would be used. Also, modifier 59, does imply a modifier 51 on those codes that are RVU valued as primary procedures. An example is when the carrier (medicare) did not want you to put a 51 on a code (they would apply it) and you have two primary procedures done in the same operative session. Such as a 63075 and 22554. One of those codes would need a 51 and/or a 59 depending on what your carrier prefers.
The 59 is to identify that a "distinct and seperate" procedure was done in the same operative session. It has been my experience that you don't get paid any other way unless upon appeal.
Hope this helps.
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