CodingQuestion 23 of 100
In CPT surgical coding, modifier 59 is used to identify a:
a.Distinct procedural service that is separate from other services performed the same day
b.Bilateral procedure
c.Professional component only
d.Reduced service
Explanation
Modifier 59 indicates that a procedure was distinct or independent from other non-E/M services performed on the same day, such as a different session, site, or organ system. It is used to bypass certain edits when services are truly separate. Because it is frequently misused, more specific X-modifiers were introduced and documentation must support the distinct service.
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