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CodeMap® 07/12/12: Correct Use of Modifier -59 for Radiology Procedures, Part 1

CodeMap® Radiology Briefing: July 12, 2012

Editor's Welcome:

Past CodeMap® Radiology Briefings have included discussions of NCCI edits and how contractors utilize these edits to screen claims for medical necessity. Today's briefing revisits this topic and specifically examines NCCI edits and how providers may use the -59 modifier, in some cases, to overcome these edits. In the first installment of a two-part briefing, Ms. Stacie Buck explains in detail the rules and compliance implications providers must consider when adding the -59 modifier to a claim. Next week, she will conclude her discussion by presenting several examples of how to appropriately code and submit these claims. As always, please forward any questions, concerns, and/or suggestions via email to either Ms. Buck or myself.....

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* The responsibility for the content of any "National Correct Coding Policy" included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse, or interpretation of information contained in this product.

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