Physician Practice

'Separate procedures' the key phrase for modifier -59

Physician Practice Perspective, October 20, 2003

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If you're not sure when to use modifier -59, you're not alone. Many physician practices have difficulty interpreting the guidelines for its use. Modifier -59 is known as the "last resort" modifier, but you'll probably run into situations where you'll need it to get paid. Understanding the meaning of the term "separate procedures" can help you use the modifier appropriately and be paid properly.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Physician Practice Perspective.

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