Friday, May 30, 2014

PROPER USE OF MODIFIER 59 FOR MEDICARE PART B SERVICES

Dan Ciolek


The Centers for Medicare and Medicaid Services (CMS) recently released MLN Matters® Special Edition Article #SE1418, “Proper Use of Modifier 59”. This article is designed to provide education on how to properly use procedure code Modifier 59 (Distinct Procedural Service) for Part B claims to comply with National Correct Coding Initiative (NCCI) edits policy. In Example 9, which describes common Part B therapy services, CMS explains the proper use of Modifier 59 when the Manual Therapy procedure code 97140 is billed on the same day as the Therapeutic Activities procedure code (97530).   

No comments:

Post a Comment