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Pathology/Lab Coding Alert

Separate Service:

Tone Down Modifier 59 Use for Cleaner Claims

Published on Fri Jul 14, 2023

Use alternatives when you can. Modifier 59 (Distinct procedural service) frequently tops the list of most misused modifiers, according to the HHS Office Inspector General (OIG) error rate reports over the years. But labs and pathologists may have better options for reporting separate services using alternate modifiers in many cases. Keep reading for clarification on when — and when not [...]
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