MODIFIER -59 ARTICLE The CPT Manual defines modifier -59 as follows: Modifier -59: "Distinct Procedural Service: Under certain circumstances, the physician may need to indicate that a procedure or service was distinct or independent from other services performed on the same day.

Corporate Medical Policy

Corporate Medical Policy Page 1 of 6 An Independent Licensee of the Blue Cross and Blue Shield Association Modifier Guidelines File Name: modifier_guidelines

Bilateral Services and CPT Modifier 50

NHIC, Corp. Bilateral Services and CPT Modifier 50 Bilateral services are procedures performed on both sides of the body during the same operative session or on the same day.


Modifier Usage Guide What Your Practice Needs to Know MODIFIER USAGE GUIDE-REVISED 011111

Update to "Claims for Obstetric Deliveries to Require a Modifier"

Update to "Claims for Obstetric Deliveries to Require a Modifier" Information posted August 9, 2011 This is an update to an article titled "Claims for Obstetric Deliveries to Require a Modifier," which was published on this website on July 29, 2011.

modifier payment policy

Modifier Payment Policy Originated 11/2004, Revised 10/2011 1 of 5 Tufts Health Plan — Modifier Payment Policy 2092222 The following payment policy applies to Tufts Health Plan ® commercial contracted providers.

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EXAMPLES OF MODIFIER "-59" USAGE Following are some examples developed to help guide physicians and providers on the proper use of Modifier "-59": Example 1: ...

~Modifiers~ Helpful Hints - Purpose of this Session - Objectives

~ 4 ~ What is a Modifier? “A modifier provides the means to report or indicate that a service or procedure that has been performed has been altered by some


Office of Inspector General The mission of the Office of Inspector General (OIG), as mandated by Public Law 95-452, as amended, is to protect the integrity of the Department of Health and Human Services (HHS) programs, as well as the health and welfare of beneficiaries served ...

Modifier- 59 Scrutinized

Modifier- 59 Scrutinized Modifier -59 Distinct Procedural Service is described by the American Medical Association's CPT 2004 Professional Edition as, "For procedure(s)/services(s) not ordinarily performed or encountered on the same day by the same physician, but appropriate under certain ...

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