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

NEWS

Print Friendly and PDF
Latest Coding Clinic® Holds the Key for Proper Use of Modifier 59
2014-09-24

AHA Coding Clinic® for HCPCS,  Volume 14, Number 2, elucidates the proper guidelines for using modifier 59 (Distinct Procedural Service) and provides various examples to help guide physicians and providers on the proper use of modifier 59. The issue also includes FAQs about coding practices regarding endoscopic stent insertion via ileal conduit, excision of breast lesion with adjacent tissue transfer, InterStim generator pocket repositioning, and sleeve gastrectomy dilation.

Other areas featured in the latest Coding Clinic® include insights about no-cost full credit and partial credit modifiers, topical application of mitomycin during or following ophthalmic surgery, new HCPCS IVIG demonstration code Q2052, implementation of 27 Category III CPT® codes, and many more updates. You can use SuperCoder’s AHA HCPCS Coding Clinic® code and keyword search to update your skills on these topics:

  • Breast Codes, Biopsy and Localization Devices: 19081-19086, 19125, 19281-19288, 19301
  • Category III CPT® Code Implementation: 0347T-0356T, 0358T-0374T
  • GAZYVA (Obinutuzumab), Reporting Instructions: C9021, C9399
  • IVIG Demonstration HCPCS Code, New: Q2052
  • Mitomycin, Topical Application, Ophthalmic Surgery: J3490, J7315, J9280
  • Modifier 59, Proper Use: 11055, 11100, 11720, 17000, 29820, 29827, 32551, 34820, 34833, 37220, 47370, 67210, 67220, 71020, 71023, 71034, 75710, 76000, 76942, 93015, 93040, 93453, 97140, 97530 
  • Modifiers, No-Cost Full Credit and Partial Credit
  • OPPS, Reporting of New Services: C9739, C9740.

You’ll also find the customary FAQ section in the latest Coding Clinic®. To find the help you need, search for these codes and keywords on SuperCoder’s AHA HCPCS Coding Clinic® tool:

  • Breast Lesion Excision with Adjacent Tissue Transfer: 11400- 11404, 11406, 11420-11424, 11426, 11440-11444, 11446, 11600-11604, 11606, 11620-11624, 11626, 11640-11644, 11646, 14000, 14001, 14020, 14021, 14040, 14041, 14060, 14061, 14301, 14302, 19081-19085, 19283
  • Ileal Conduit, Endoscopic Stent Insertion: 53899
  • Interstim Generator Pocket Repositioning: 17999
  • Sleeve Gastrectomy Dilation: 43245, 43999
  • Ultrasonic Guidance for Needle Placement: 76942.