What is “59 modifier” in medical billing?

59 Modifier in Medical Billing

The 59 modifier is used to indicate that two procedures or services were distinct and separate from each other.

59 Modifier in Medical Billing Explained

In medical billing, the 59 modifier is applied when two services that would normally be bundled together are performed in separate settings or for distinct reasons. It ensures that both procedures are billed and reimbursed appropriately.

For example, a provider uses the 59 modifier when performing two unrelated procedures on the same patient on the same day.

Understand acronyms and abbreviations in Medical billing glossary.

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