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:
Separate Encounter: A service that is distinct because it occurred during a separate encounter.
Separate Practitioner: A service that is distinct because it was performed by a different practitioner.
Separate Structure: A service that is distinct because it was performed on a separate organ/structure.
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.