Web Reference: Modifier 59 is an important NCCI PTP-associated modifier that physicians and providers often use incorrectly. This booklet will help you use this modifier correctly. Jan 16, 2018 · The Modifier 59 provides extra information so that the claim should get processed correctly because of the claim submitter’s special circumstances without the claim processor having to read the notes. Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances. It is the most reported modifier that affects National Correct Coding Initiative (NCCI) processing.
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