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ED Coding and Reimbursement Alert

Reader Questions:

Clarify When Modifier 59 Applies

Published on Mon Oct 12, 2020

Question: We used to report modifier 59 (Distinct procedural service) frequently, but our administrator said we should use it sparingly, as it’s the “modifier of last resort.” Now we don’t use it at all, but I think we should be. When is this modifier warranted in the ED? Texas Subscriber Answer: You’re correct that modifier 59 should only be used [...]
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