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Thread: Medicare re modifiers 50, 51 and 59

  1. #1
    Join Date
    Apr 2007

    Default Medicare re modifiers 50, 51 and 59

    AAPC: Back to School
    Can anyone direct me to the CIGNA Medicare website/article/news bulletin where it is documented their requirement for the order/placement of modifiers 50, 51, and 59; if a bilateral procedure was performed with bilateral blocks placed?

    Sincerely appreciate any help on this..

  2. #2
    Join Date
    Apr 2007
    North Carolina


    Is this what you're looking for? Section 40.9


  3. #3
    Join Date
    Apr 2007

    Default thanks for the website

    I need guidance on knowing if all three - 50,51 and 59 are required- or two and which two, and in what order should they be posted? I didn't see that documented from the information on the website.

  4. #4
    Join Date
    Apr 2007
    Everett, WA


    Following this thread once again with interest. There has been discussion before...payment modifier first, (bilateral) 50 along with the "Pay me" modifier 59 (courtesy of Debra) and then the "reduce me" modifier (51). Do I have this right? Please, someone correct me if I don't! What about modifier 99? Does anyone use this and is it still recognized by the payers? I do know there was a Coding Edge article about this not too long ago. ---Suzanne E. Byrum, CPC

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