Modifier 59 payment reduction
[DOC File]Book - Access Training Materials – Cengage
https://info.5y1.org/modifier-59-payment-reduction_1_43661d.html
274 193 Add option -59 to code option box: -59 Distinct procedural service. Answer “B” should read: B: 727.61, 29826-59, 23412. Add to answer explanation: Modifier -59 must be added to code 29826 because it is a component of comprehensive procedure 23412. That is allowed if an appropriate modifier is used per NCCI edits.
[DOC File]DRAFT - Flash Code
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service is reported; generally, this would be the open procedure. If an arthroscopic service is performed at one site and an open procedure is performed at another, the arthroscopic service is reported with a modifier indicating that these services were performed at different anatomic sites (e.g. modifiers -RT or -LT, modifier -59, etc.)
[DOC File]INSURANCE - Government of New Jersey
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If any of the multiple surgeries are bilateral surgeries using the modifier "-50," consider the bilateral procedure at 150 percent as one payment amount, rank this with the remaining procedures, and apply the appropriate multiple surgery reductions. 2. There are two types of procedures that are exempt from the multiple procedure reduction.
[DOC File]2009 RHIA/RHIT Review Guide Errata
https://info.5y1.org/modifier-59-payment-reduction_1_0c2a59.html
272 193 Add option -59 to code option box: -59 Distinct procedural service. Answer “B” should read: B: 727.61, 29826-59, 23412. Add to answer explanation: Modifier -59 must be added to code 29826 because it is a component of comprehensive procedure 23412. That is allowed if an appropriate modifier is used per NCCI edits.
[DOC File]Washington Report – July, 2012 - HBMA
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CMS must issue policy clarification as it relates to coding for MPPR. Use of the Modifier 59 to identify services subject to the MPPR payment reduction, conflicts with CCI edit policy relative to the appropriate use of Modifier 59 when NO payment reduction is necessary.
[DOCX File]CCR Template - Colorado
https://info.5y1.org/modifier-59-payment-reduction_1_ed979a.html
(3) Any billed CPT® code identified as a “separate procedure” in CPT® shall have an appropriate modifier appended to the code for the payer to allow separate payment (i.e., modifier 59 or one of the below applicable X modifiers). One of the following descriptive modifiers may be used in place of modifier 59:
[DOC File]Section III All Provider Manuals - Arkansas
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“Third party” means an individual, institution, association, corporation or public or private agency that is liable for payment of all or part of the medical cost of injury, disease or disability of a Medicaid beneficiary. Arkansas Code Annotated § 20-77-306 incorporates the requirements of the federal Deficit Reduction Act of 2005 (DRA).
[DOCX File]CCR Template - Colorado
https://info.5y1.org/modifier-59-payment-reduction_1_c83364.html
Jan 01, 2020 · If these procedures are performed at the same level, provider shall append modifier 51 to the lesser-valued procedure(s). If procedures are performed at different interspaces, provider shall append modifier 59 to the lesser-valued procedure(s). See sections 18-5(B)(6)(a) and 18- 4(A)(3)(o) for applicable payment policies.
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