Health Information Management

Pay-per-view: Use caution when applying modifier -59 for drug administration services

APCs Insider, July 31, 2015

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With drug administration services, providers likely find themselves prompted to use modifier -59 (distinct procedural service) more frequently than typically expected or with other services. This is in part because certain drug administration service codes such as IV push injections or infusions may be part of another service such as a CT scan with contrast.
 
If a patient presents to the ED and receives an IV push of morphine and then receives a CT with contrast, an NCCI edit will surface to ensure that the IV push isn't being unbundled and reported for the contrast given for the CT.
 
This is just one example of when providers are prompted today to use modifier -59. In this case, it would be appropriate to append the modifier to let Medicare know that the IV push injection is for something other than the contrast.
 
Continue reading "Use caution when applying modifier -59 for drug administration services" on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the July issue.



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