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Modifier 59 and ICD-10

Tina Posted Mon 02nd of March, 2015 16:08:39 PM

Will the upcoming ICD-10 implementation have any effect on our usage of the 59 modifier?

SuperCoder Answered Tue 03rd of March, 2015 03:49:05 AM

Thank you for the query.
ICD 10 implementation will not have any effect on 59 modifier since 59 modifier is billed with CPT codes to suggest that the procedure was a distinct procedure.
Also for your information: In place of 59 modifier, 4 different modifiers are being used now:

Modifier XE
Separate Encounter: A service that is distinct because it occurred during a separate encounter.
Modifier XP
Separate Practitioner: A service that is distinct because it was performed by a different practitioner.
Modifier XS
Separate Structure: A service that is distinct because it was performed on a separate organ/structure.
Modifier XU
Unusual Non-Overlapping Service: The use of a service that is distinct because it does not overlap usual components of the main service.

I hope this information will be helpful.

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