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Primary Care Coding Alert

Guidelines:
Follow These Dos and Don’ts for Modifier 59 Success

Know how to use, but not misuse, the “unbundling modifier.” When it comes time to unbundle National Correct Coding Institute (NCCI, or CCI) procedure-to-procedure (PTP) edit pairs such as the ones highlighted in the first article of this issue, one of the first modifiers you might think to use is 59 (Distinct procedural service). In fact, modifier 59 gets so [...]