modifier -59

modifier -59

A code added to CPT coded bills (in the USA) for professional healthcare services which indicates to third-party payers that a procedure or service performed was distinct or independent from other procedures or services performed on the same day on the same patient in the same facility by the same provider.
References in periodicals archive ?
New interpretation of modifier -59 and its effect on surgical coding for urology
Modifier -59 is used for distinct and independent surgical services on the same day For example, this could be used for a Burch procedure performed transabdominally for stress incontinence at the same time as a posterior colporrhaphy is done for defecation dysfunction.
Using modifier -59 (distinct procedural service) indicates that the physician injected different muscle groups, thus overriding the software edit.