Don't have a TCI SuperCoder account yet? Become a Member >>

Ophthalmology Coding Alert

Modifier 59 Isn’t Automatically the Best Choice

Although CMS has clarified its regulations for when you can report modifier 59 (Distinct procedural service), that doesn’t mean you always should append it when reporting codes together that are typically bundled under the Correct Coding Initiative. In some cases, other modifiers may be more appropriate, and in those situations, you should report these modifiers instead of 59. Alternative modifiers may include the following, [...]