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Neurology & Pain Management Coding Alert

Modifier Madness:

Put Modifier 59 Concerns to Rest With Coding Knowledge

Published on Fri Aug 20, 2021

Remember the X{EPSU} modifier options, too. Payers never stop scrutinizing claims that list “separate and distinct” services, thanks to perpetually high Office of Inspector General (OIG) error rates for such billing. When you have a claim that includes procedures that the National Correct Coding Initiative (NCCI) bundles as procedure-to-procedure (PTP) code edits, you’ll need a modifier to override the edit [...]
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