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Neurosurgery Coding Alert

Modifier Madness:

Prove Separate and Distinct Before Opting for Modifier 59

Published on Thu Sep 02, 2021

… and some payers might prefer the X{EPSU} modifier options. 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 lab claim that includes procedures that the National Correct Coding Initiative (NCCI) bundles as procedure-to-procedure (PTP) code edits, you’ll need a [...]
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