Tag: Modifiers Procedures

modifier 59

Differentiate Separate Procedures with Modifiers 59 and X[ESPU]

When you have distinct, separate procedures, know which modifiers procedures will get the claim paid in full. Modifier 59 Distinct procedural service acts as a “universal unbundling” modifier for procedures that are normally included as part of another procedure, or “bundled.” The modifier tells the payer that there are special circumstances that warrant separate reporting (and payment) […]
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