This was handed down from Corporate, and I plan to dispute this, if I can receive confirmation that the payment modifier usage -59- is in fact erroneous/unnecessary:
claim example:
99214
92134
92275 -59 -Lt

CPT codes 92134 & 92275 are separate diagnostic tests (SCODI, ERG), so why would modifier -59 be necessary? :confused:
Per Encoder Pro, there are no CCI Edits for billing the above codes together…and no modifiers are required.

Your response would be appreciated. I have made our Vice President aware of my post to you out there-as he originally sponsored me for the certification. Please let’s show my corporate how AAPC rallies to their fellow AAPC certified coders! 😎