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Thread: 59 with add-on codes

  1. #1

    Default 59 with add-on codes

    I know that it is not appropriate to use modifier 51 with add-on codes. Is the same true with modifier 59? I have gotten a 2nd denial for 95886 as "not a valid code". It was billed with 95904 and no modifier appended.

  2. #2
    Join Date
    Apr 2007
    Location
    Hartford, CT
    Posts
    721

    Default

    This code is new for 2012 so you may want to check and make sure the insurance company has updated their fee schedule.
    Doreen Clark, CPC, CPMA
    Medical Auditing Specialist
    Integrated Physicians Management Services
    East Harftord. Ct

  3. #3
    Join Date
    Apr 2007
    Posts
    43

    Default

    I add modifier 59 to nerve conduction codes only. Leave 95886 w/o modifier. I received payment fine so far from payers.

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