Question:

Can modifier 59 be assigned to both column-one and column-two codes listed in the procedure-to-procedure edits?

Answer:

Starting on July 1, 2019, and after, the Centers for Medicare & Medicaid Services (CMS) will allow modifier 59 (distinct procedural service) and its subset of X modifiers to be appended to both the column-one and column two codes in the National Correct Coding Initiative (NCCI) procedure to- procedure (PTP) edits. Until then, a modifier may be appended only to the column-two code to bypass the edit.

This question was answered in an edition of our Laboratory Compliance Manager. For more hot topics relating to laboratory services, please visit our store or call us at 1.800.252.1578, ext. 2.

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