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Thread: 59 modifier

  1. #1

    Question 59 modifier

    AAPC: Back to School
    Hello everyone,
    I have a question. I have been doing coding for 6 years at a provider office. We used 59 modifiers for all insurances.
    I have since merged to a facilty location and we had training yesterday on 59 modifiers. This location is only using 59 modifiers for medicare and medicare advantage programs. I inquired about other insurances needing 59 modifiers but was told this was a medicare and medicare advantage modifier only.
    I do not think this is correct. Can someone help me?

  2. #2
    Join Date
    Apr 2007
    Lauderdale Lakes


    I use the 59 modifier on all insurance's

  3. #3
    Join Date
    Apr 2007


    Modifier 59 should be used if appropriate regardless of the insurance - and if the payor doesn't follow Medicare they will soon enough anyway.

  4. #4


    Yes,Modifier 59 should be used regardless of the insurance .

    Nalini CPC

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