Modifier 59

I have been using mod 59 for 98940 along with 98943 and getting no response back from insurance anyone know what modifier I should be using??????////

re: Modifier 59

Maybe none. When an extraspinal region manipulation (98943) is performed on the same patient on the same day as a spinal manipulation (98940, 98941, 98942), reimbursement for the extraspinal manipulationis usually not reduced. Reimbursement will be based on the full Physician fee schedule amount for spinal and extraspinal manipulations when billed together. The codes specify the specific regions.