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Modifier 59 Replacements Take the Spotlight in Most Recent HCPCS Coding Clinic®

AHA Coding Clinic® for HCPCS, Vol. 14, No. 4, updates you with a reminder about the four newly implemented HCPCS modifiers, which CMS created to define subsets of modifier 59, Distinct procedural service. The latest Coding Clinic® also includes its popular Ask the Editor section, providing answers to specific scenarios for reporting neuroplasty of multiple nerves, lymphatic malformations of the neck, multiple clinic visits, laparoscopic sacrocolpopexy, and the On-Q Pain Pump.

Reviewing the latest Coding Clinic® also will guide you on recent CMS additions of HCPCS level-II G codes, including for radiation therapy. Plus, you’ll sharpen your skills to correctly report services for fingers and toes, mobile cardiac telemetry monitoring, new codes for certain drugs, biologicals, and radiopharmaceuticals, and much more. To get spot-on guidance, simply type a code or keyword related to these topics into SuperCoder’s AHA HCPCS Coding Clinic® code and keyword search:


  • Drugs, Biologicals and Radiopharmaceuticals: A9606, C9027, C9136, C9349, C9442-C9447, J0571-J0573, J0574-J0575, J1826, J2704, J7182, J7301, J7302, J7327, J8565, Q4150, Q4151- Q4160
  • Fingers and Toes Services: 50, F1-F9, FA, T1-T9, TA
  • G Codes for Radiation Therapy
  • Intraocular or Periocular Injections of Combinations of Anti-Inflammatory Drugs and Antibiotics: C9399, J3490
  • Laboratory G Codes: G6030-G6036, G6039-G6047, G6048-G6051
  • Mobile Cardiac Telemetry Monitoring Services: 93229
  • Modifier 59Subsets: 59, XE, XP, XS, XU.

You’ll also find the customary Ask the Editor 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:

  • Laparoscopic Sacrocolpopexy:57425
  • Lymphatic Malformation, Neck: 20500, 37244, 38999
  • Multiple Clinic Visits: G0463, 94761
  • Neuroplasty, Multiple Nerves: 64708, 64910
  • On-Q Pain Pump.