Author Topic: CCI column 1 & 2 question: which column gets the modifier -59  (Read 3655 times)

thelakeshow2k

  • Newbie
  • *
  • Posts: 31
CCI column 1 & 2 question: which column gets the modifier -59
« on: October 06, 2010, 03:56:34 PM »
is it standard that we should add -59 to one of the columns?  thanks.

PMRNC

  • Hero Member
  • *****
  • Posts: 4562
    • One Stop Resources & Networking for Medical Billers
Re: CCI column 1 & 2 question: which column gets the modifier -59
« Reply #1 on: October 06, 2010, 06:55:34 PM »
Quote
is it standard that we should add -59 to one of the columns?  thanks.

For what??
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

thelakeshow2k

  • Newbie
  • *
  • Posts: 31
Re: CCI column 1 & 2 question: which column gets the modifier -59
« Reply #2 on: October 08, 2010, 01:49:16 AM »
...to bill both codes on the same visit. 

example: medicare will not not pay cpt 11100 if billed with 17000 on the same visit unless modifier -59 is listed with 11100. 


Michele

  • Administrator
  • Hero Member
  • *****
  • Posts: 5927
    • Solutions Medical Billing
Re: CCI column 1 & 2 question: which column gets the modifier -59
« Reply #3 on: October 08, 2010, 10:01:10 AM »
It is never 'standard' to add a modifier.  The modifier should be added if the provider or the coder believes it is required to correctly indicate the services that were performed.  If you are billing and you are aware that the code is not covered without the modifier it would be a good idea to bring it to the attention of the provider or coder.  They may not have realized they need to consider the use of the modifier, but they need to decide if it is appropriate for the services that were provided.

Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

oneround

  • Full Member
  • ***
  • Posts: 226
Re: CCI column 1 & 2 question: which column gets the modifier -59
« Reply #4 on: October 08, 2010, 09:40:34 PM »
Good answer Michele
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare

Medical Billing Forum

Re: CCI column 1 & 2 question: which column gets the modifier -59
« Reply #4 on: October 08, 2010, 09:40:34 PM »