Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances.
Modifier 59 – To Use or Not to Use - AAPC Knowledge Center
Jan 16, 2018 · The Modifier 59 provides extra information so that the claim should get processed correctly because of the claim submitter’s special circumstances without the claim processor …
Modifier 59 Fact Sheet - Novitas Solutions
Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances. It is the most reported …
Modifier 51 vs Modifier 59 - American Society of Anesthesiologists …
CPT instruction also tells us that modifier 59 should not be used when a more appropriate modifier is available. For example, if a procedure is performed bilaterally, modifier 50 would be …
what is modifier 59 : Examples to use with Different CPT Codes
Dec 2, 2025 · This guide explains when and how to apply the 59 modifier, emphasizing the importance of accurate documentation and adherence to the Correct Coding Initiative (CCI) …
What is Modifier 59? - Medbridge
Jun 15, 2025 · Modifier 59 is one of the most commonly used—and misused—CPT modifiers in outpatient billing. It plays a central role in helping providers differentiate services that would …
59 - JE Part B - Noridian
May 9, 2025 · Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances.
Modifier 59 Explained: A Complete Guide for Healthcare Providers
Oct 22, 2025 · In CPT coding, Modifier 59 represents a “Distinct Procedural Service.” It’s a two-digit code appended to a CPT or HCPCS procedure code to indicate that a service or …
What Is Modifier 59 and When to Use It in Medical Billing?
Apr 24, 2025 · Learn how and when to use Modifier 59 in medical billing. This simple guide helps you apply it correctly to avoid claim denials & ensure proper reimbursement.
Modifier 59 - Description and usage along with examples
Nov 18, 2020 · Modifier 59 means Distinct Procedural service and this modifier is appended with appropriate procedure code to indicate to the insurance company, that the services performed …