Medicare patient had conscious sedation on two completely separate encounters on same DOS. The second encounter was denied with the 59 modifier attached. Any way to get this paid? This seems to me the perfect 59 scenario and this is a valid modifier (perhaps not for Highmark but no policy to verify). I wouldn't think combining the total minutes would apply but I don't see any other way.
Any help would be appreciated.
Thanks!
Any help would be appreciated.
Thanks!