Medical Billing Forum
General Category => General Questions => : amelero October 10, 2010, 09:12:51 PM
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If the 59 modifier is used when using more than one treatment modality in the same day, does the insurance count that as an extra visit?
I believe that when a 59 modifier is used for more than one eval (office visit) in the same day (one for each diagnosis), it can count as more than one patient visit. But i was wondering if it is counted that way when using it only for unbundling treatment modalities.
Thanks
Adrian
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I've never seen the 59 modifier cause a visit to be counted as an extra visit.
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If the 59 modifier is used when using more than one treatment modality in the same day, does the insurance count that as an extra visit?
I believe that when a 59 modifier is used for more than one eval (office visit) in the same day (one for each diagnosis), it can count as more than one patient visit. But i was wondering if it is counted that way when using it only for unbundling treatment modalities.
Thanks
Adrian
If i got your question right, i never seen 59 modifier used in office visit( Evaluation & Mgmt code). Especially this modifier is bit tricky, if you just google, you should get good answers.. of when & how 59 mod can be used. It is bascially used for distinct procedures done on the same day...
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The -59 modifier is used to identify procedures/services, other than E/M services, that are not usually reported together, but are appropriate under the circumstances. Modifier -59 should NOT be appended to an E/M service.