Changes to Modifier 59 – Important Notice

I received this info from my Medicare contractor (Cahaba) just wanted to share.

Part B Medicare Providers
****Changes to Modifier 59 – Important Notice ****
Effective July 1, 2013
Modifier 59 can only be used, when medically necessary, to unbundle a procedure code that has been bundled related to the National Correct Coding Initiative (NCCI). Claims billed with the same procedure code two or more times for the same date of service, should be submitted with the appropriate repeat procedure modifier rather than using modifier 59.

Multiple Procedure Modifiers 76 & 91
Modifier 76 is used to report a service or procedure that was repeated by the same practitioner subsequent to the original service or procedure.

Modifier 91 is used to report repeat laboratory tests or studies performed on the same day on the same patient.
Modifiers 76 and 91 do not replace modifiers such as RT, LT, 50, E1-E4, FA, F1-F9, TA, and T1-T9.

If billing a procedure code two or more times for the same date of service, the claim should be submitted with the procedure code listed on one line without the 76/91 modifier and each subsequent procedure listed on a separate line using the Modifier 76/91.