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General Anesthesia Contributes to Post-op Pain

Some "noxious" general anesthetics excite sensory neurons that cause peripheral pain in patients once they wake from surgery, researchers say. I...

WHO Issues Surgical Safety Checklist

The World Health Organization and the Harvard University School of Public Health have created a new perioperative checklist for surgical team member...

Surgical Business Ethics in the Press

It's no secret that some leading orthopedic surgeons receive six- and seven-figure payments annually from the makers of artificial hips and knees. B...

Home > Archive > November 2006
Coding & Billing
Are You Misusing the -59 Modifier?
Cristina Bentin, CCS-P, CPC-H, CMA

One of the most common things I see during facility audits is the misuse and overuse of modifier -59, distinct procedural service, which inadvertently snowballs into the unbundling and upcoding of surgical procedures. Not only does the application of modifier -59 to each CPT code listed in an operative session warrant closer scrutiny from my team, but it also waves an ominous red flag for Medicare and the Office of Inspector General (OIG).

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Categories: Code/Bill/Reimburse, Ophthalmology
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