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Cci & mod 59

  1. #1
    Location
    Kansas City, MO
    Posts
    431
    Default Cci & mod 59
    Medical Coding Books
    Ok, cci...you have column one and column two...usually this means column two bundles into column one, and so the 59 would go on column two to keep it from bundling, correct?

    Question two...what if column two code has a higher rvu value, and should be sequenced first on your claim...can you put a -59 on the first line item?

    We put the -59 on the second code, and bcbs is telling us modifier is inappropriate.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC,CCC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    President, 2018
    Vice President, 2017
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

  2. #2
    Location
    Columbia, MO
    Posts
    12,526
    Default
    The modifier is always place on the procedure that would be bundled regardless of RVU value and placement on the claim. Also being certain that the documentation provides for unbundleing.

    Debra A. Mitchell, MSPH, CPC-H

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