CMS recently announced changes to the use of the -59 modifier which could impact medical billing submissions and provider reimbursement. Modifier -59 indicates that a code represents a service that is separate and distinct from another service with which it would usually be considered to be bundled for payment purposes. Per CMS, due to “chronic overuse” of modifier -59, they have created a new series of modifiers which provide more specificity of the distinct procedural service.
For physicians and coders, it will be important to understand and use the four new modifiers correctly to avoid any disruptions in reimbursement. Listen in as Michael Liter, VP of Account Services discusses the -59 modifier changes and what it means to your practice.