Modifier 59 - Are You Using It Correctly?
Did you know one of the main reasons for claim denials and revenue loss is the incorrect usage of modifiers? Undoubtedly, medical bills are being claimed in a combination of codes for the services performed in the medical practice. But that is not all required. The accurate coding of such corresponding treatment modifiers is mandatory to ensure the reimbursement of these claims, including Modifier 59 (Distinct Procedural Service). In fact, the claim form also needs to have diagnosis codes along with proper ICD 10 codes. If you are wondering why, you should be concerned about whether you are using Modifier 59 correctly, the reason is that it is one of the most misused modifiers. Unfortunately, you would not be alone and lose your revenue for the failure to use Modifier 59 correctly. What Is Modifier 59 Used For? Typically, Modifier 59 indicates that more than one procedure is performed on the patient in a single visit. But such procedures should be on the different part o...