The 59 modifier is appended to the procedure code or codes listed in column 2of the NCCI edits. The 59 modifier (when allowed and properly supported) will allow the procedure code (s) to which it is (are) appended to pay. Without the 59 modifier, the procedure code listed in column 2 would deny as included in the allowance of the corresponding column 1 procedure code.
In your example, procedure code 11100 is in column 2 and procedure code 17000 is in column 1. Therefore, the 59 modifier it should be appended to procedure code 11100.
Hope this helps.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join