Wiki Using modifier 59 with RT and LT

[Kellyj0h]

I have a doctor who bills for tubes as:

69436, RT
69436, LT, 59

At a seminar he just attended, he was told that he doesn't need the
59 since they are marked RT and LT. Is this true? He was told that this would "red flag" the claim.

 

[mitchellde]

the 59 is not needed when you use the LT and RT. As far as flagging the claim this is entirely possible since the 59 is a flagged modifer for overutilization.

 

[Walker22]

Agree !!

 

[dballard2004]

I am in complete agreement. Modifier 59 should only be used as a last resort; when no other modifier is appropriate.