The Power of the 59 Modifier

Nokomis Health | Modifier 59

Do you know how much power there is in a single two-digit number? Most payors and health plans don’t realize the impact that the 59 modifier can have on claim costs. Adding this simple modifier to a CPT code allows that code to bypass several code edits, resulting in erroneous and often incorrect payments. Providers have learned that the way to avoid denials is to append a 59 modifier to many codes. The problem is that in many instances, the modifier is not appropriate.

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