AAPC - Back to school
Results 1 to 2 of 2

Thread: 99144-59

  1. #1
    Join Date
    Apr 2007
    Danville PA

    Default 99144-59

    AAPC: Back to School
    Medicare patient had conscious sedation on two completely separate encounters on same DOS. The second encounter was denied with the 59 modifier attached. Any way to get this paid? This seems to me the perfect 59 scenario and this is a valid modifier (perhaps not for Highmark but no policy to verify). I wouldn't think combining the total minutes would apply but I don't see any other way.

    Any help would be appreciated.


  2. #2
    Join Date
    Apr 2007


    They might looking at it like if there is a code pair, modifier 59 would be appropriate on the column two code if it was performed on a separate site or separate encounter. But without a bundling issue with a column one code, the separate encounter would not meet a situation where it is needed to apply the 59 modifier to alert them to bypass the edit. I agree that combine the times would be the best way to capture this date of service you are working on.

Similar Threads

  1. Asc-99144
    By louettayg in forum Auditing General Discussion
    Replies: 0
    Last Post: 04-18-2014, 07:38 AM
  2. 99144
    By golions1986 in forum Anesthesia
    Replies: 2
    Last Post: 09-01-2011, 09:51 PM
  3. 99144 with 52 modifier?
    By Jacobpayton in forum Anesthesia
    Replies: 1
    Last Post: 08-24-2011, 09:17 AM
  4. Billing 99144
    By HBROCKMAN in forum Outpatient Facilities
    Replies: 1
    Last Post: 05-02-2011, 06:48 PM
  5. 99144
    By krisfelty in forum Anesthesia
    Replies: 3
    Last Post: 10-03-2008, 09:09 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.