Scribd Logo
Upload

Welcome to Scribd!

  • 32 views

    Should I Use Modifier 59?: Are You Billing For Two Services That Form An NCCI Edit Pair?

    Uploaded by

    Rodvin Fiel
    This document provides guidance on when to use modifier 59 to bill for two services that form an NCCI edit pair. It advises users to only use modifier 59 if documentation clearly supports that the two services were performed separately and independently of one another, and if a more descriptive modifier is not available. Users should never use this modifier simply to ensure payment and instead ensure documentation properly justifies its use.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content

    You might also like

    Should I Use Modifier 59?: Are You Billing For Two Services That Form An NCCI Edit Pair?

    Uploaded by

    Rodvin Fiel
    32 views1 page
    This document provides guidance on when to use modifier 59 to bill for two services that form an NCCI edit pair. It advises users to only use modifier 59 if documentation clearly supports that the two services were performed separately and independently of one another, and if a more descriptive modifier is not available. Users should never use this modifier simply to ensure payment and instead ensure documentation properly justifies its use.

    Original Description:

    Flowchart

    Original Title

    WebPT Modifier59FlowChart 05.17.16

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document provides guidance on when to use modifier 59 to bill for two services that form an NCCI edit pair. It advises users to only use modifier 59 if documentation clearly supports that the two services were performed separately and independently of one another, and if a more descriptive modifier is not available. Users should never use this modifier simply to ensure payment and instead ensure documentation properly justifies its use.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    32 views1 page

    Should I Use Modifier 59?: Are You Billing For Two Services That Form An NCCI Edit Pair?

    Uploaded by

    Rodvin Fiel
    This document provides guidance on when to use modifier 59 to bill for two services that form an NCCI edit pair. It advises users to only use modifier 59 if documentation clearly supports that the two services were performed separately and independently of one another, and if a more descriptive modifier is not available. Users should never use this modifier simply to ensure payment and instead ensure documentation properly justifies its use.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Should I Use Modifier 59?

    Are you billing for two services that form an NCCI edit pair?

    Did you perform those

    yes

    no

    Dont use modifier 59.

    two services separately


    yes

    and independently of

    Review your

    one another?

    documentation to
    no

    Dont use modifier 59.

    Is a more descriptive

    Does your

    determine whether

    documentation support

    modifier 59 is

    your assertion that you

    appropriate. Remember,

    performed the two

    you should never use

    services separately

    this modifier simply

    and independently

    because you know it will

    of one another?

    ensure payment.

    yes

    no

    modifier available?
    Use the more
    descriptive modifier

    yes

    instead. You should

    no

    only use modifier 59 if


    Use modifier 59.

    theres not a better


    alternative available.

    WebPT ensures regulatory compliance, so you can get paid and avoid penalties.
    Learn more at get.webpt.com/compliance

    You might also like