Author Topic: CCI column 1 & 2 question: which column gets the modifier -59  (Read 2196 times)

thelakeshow2k

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CCI column 1 & 2 question: which column gets the modifier -59
« on: October 06, 2010, 12:56:34 PM »
is it standard that we should add -59 to one of the columns?  thanks.

PMRNC

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Re: CCI column 1 & 2 question: which column gets the modifier -59
« Reply #1 on: October 06, 2010, 03:55:34 PM »
Quote
is it standard that we should add -59 to one of the columns?  thanks.

For what??
Linda Walker
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thelakeshow2k

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Re: CCI column 1 & 2 question: which column gets the modifier -59
« Reply #2 on: October 07, 2010, 10:49:16 PM »
...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

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Re: CCI column 1 & 2 question: which column gets the modifier -59
« Reply #3 on: October 08, 2010, 07:01:10 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.

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oneround

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Re: CCI column 1 & 2 question: which column gets the modifier -59
« Reply #4 on: October 08, 2010, 06:40:34 PM »
Good answer Michele
Michael A. Reynolds, CPC, CCP-P, CPMB, OS
Project Manager
Corporate Compliance
Sharp HealthCare