abyrne
Networker
We have a provider who performed testing the same day as the tech did. I know that 96138 can be reported with 59 modifier in this case since it would be bundled with 96136. However there is no NCCI edit for 96139 with 96136 so is it appropriate to append 59 to 96139? Insurance is denying 96139 as bundled (it's not bundled with any other services billed per NCCI edits).
It's my understanding that modifier 59 is only used if the code pair is on the NCCI edits, or if it’s the same cpt but different site, etc. Therefore it would not be appropriate to use 59 on CPT 96139, correct?
It's my understanding that modifier 59 is only used if the code pair is on the NCCI edits, or if it’s the same cpt but different site, etc. Therefore it would not be appropriate to use 59 on CPT 96139, correct?