Health Information Management

Pay-per-view: Applying modifier -59 properly

APCs Insider, October 18, 2013

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Medical necessity is an important factor when considering whether to apply a modifier to a code. Do not use a modifier when a test is repeated for confirmation of results or because the original testing erred in some way. It would not meet medical necessity in this case, and therefore would not be billable.

Continue reading Experts weigh in on proper use of modifier -59 on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the October issue.



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