Pulmonology Coding Alert

Modifiers News:

Make Way for Modifier 59 as an Exception Instead of Rule for Repeat Procedures

Take your payers into confidence before blindly following CMS’s directive to use modifiers 76 or 91. When several Medicare payers announced that they would no longer consider modifier 59 (Distinct procedural services)a valid modifier for repeat procedures, some coders may have overlooked the word “repeat” and thought that modifier 59 was not valid as a modifier for anything. Not true. [...]
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