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Use of Modifier 59

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Modifier 59: Distinct Procedural Service

Definition: Modifier 59 is used to identify services or procedures performed on the same day due to special circumstances that are not normally reported together.

Use when: In addition to HCPCS/CPT codes, when the billing claim form indicates two or more separate procedures are performed on separate body parts, organs, or injured area or different encounter on the same date of service by the same physician.

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