The Centers for Medicare and Medicaid Services acknowledges that there are code combinations that may warrant an exception in reporting based on clinical documentation. Coders tend to err on the side ...
The Centers for Medicare & Medicaid Services (CMS) recently announced that it is creating four new Healthcare Common Procedure Coding System (HCPCS) modifiers that will further refine the popular -59 ...
3. Over-utilization of -59. Do not use -59 to bypass the edits when a procedure is truly integral to the main procedure. Remember, simply because the Medicare edits may allow for a modifier doesn’t ...
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