2. Under-utilization of -59: It’s not taboo. When the Medicare edits (NCCI) correct coding modifier indicator (i.e., 1) allows a modifier to indicate a “separate” and “distinct” procedure, users may ...

The -59 modifier is used to report a “distinct procedural service”. Proper use of the -59 modifier can result in payment for services that are usually denied when performed in the same case. This is ...