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Ophthalmology and Optometry Coding Alert

You Be the Coder:

Can You Find This Modifier Mishap?

Published on Fri Dec 17, 2021

Question: Medicare regulations indicate that separate ICD-10 codes are not required to report modifier 59, but we never seem to be able to get paid with this modifier unless we have separate diagnosis codes. What’s the story with this? Codify Subscriber Answer: Insurers essentially state across-the-board that separate ICD-10 codes are not required to use modifier 59 (Distinct procedural service). [...]
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