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Steps to Follow Before Choosing Modifier 59

Steps to Follow Before Choosing Modifier 59

Submitted by • April 2, 2020

The National Correct Coding Initiative (NCCI) maintains a list of procedures that are “bundled” and therefore cannot be billed at the same date and time. Many billers do not really understand importance of modifiers or when they need to be used. A modifier should never be used just to get higher reimbursement or to get paid for a procedure may bundle with another code. Modifiers are used to help communicate these unique circumstances and are necessary to bypass the NCCI edits. You should follow some steps before choosing modifier 59.

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Voted by richardssmith

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