Try these links first.WPS Portal User ManualIVR OperatingGuideEducational VideosQuestions about Self-Service?(866) 518-32857:00 am to 5:00 pm CT M-FTry these links first.WPS Portal User ManualIVR OperatingGuideEducational VideosQuestions about Self-Service?(866) 518-32857:00 am to 5:00 pm CT M-FTry these links first.WPS Portal User ManualIVR Operating GuideEducational VideosQuestions about Self-Service?(866) 234-73318:00 am to 5:00 pm ET M-FTry these links first.WPS Portal User ManualIVR OperatingGuideEducational VideosQuestions about Self-Service?(866) 234-73318:00 am to 5:00 pm ET M-FEND: Claims Help Panel J5ATitleTitleIconTextEND: Left Nav Containerstart base22 skin standardstart header markuplm-dynamic-title node marks location for dynamic title supportWeb Content ViewerActionslm:control dynamic spot injects markup of layout controlasa.overlay marks the node that the AsaOverlayWidget will be placed in <div style="position:relative; z-index: 1;"><div class="analytics.overlay"></div></div>START: PT ResourceThese styles need to be added to the stylesheet when deployed.aw-title {        padding-bottom: 0px;    }    #bodyContent {        margin-bottom: 40px;    }    #backButtonContainer {        display: inline;    }    #backButtonContainer a {        color: #005c99;    }    .resource-summary > .topic-links {        color: #686D7D;    }    #jurisdictionsContainer {        border-top: 1px solid #eee;        border-bottom: 1px solid #eee;        padding: 10px 20px;        margin-top: 20px;        margin-bottom: 20px;        color: #005c99;    }    h6 {        font-size: 12px;        margin-top: 0;        line-height: normal;    }        #quickMessage {        background-color: #EFEFEF;        border-radius: 10px;        padding: 20px;        margin-top: 20px;        margin-bottom: 20px;    }        #resource-attachments {    border-radius: 10px;    }[if lt IE 11]><div class="alert alert-danger margin-right20 margin-top20"><p class="browserupgrade" dir="ltr">You are using an <strong>outdated</strong> browser. Please <a href="http://browsehappy.com/" title="Update your browser" target="_blank" >upgrade your browser</a> to improve your experience.</p></div><script type="text/javascript">$('#megaMenuWrapper').addClass('hide');</script><![endif]<div id="aw-content-header">        <div class="aw-title">            <div class='aw-content-title' data-swiftype-name="title" data-swiftype-type="string">Modifier 59 Fact Sheet</div>            <span class="last-updated">Last updated Jul 07 2020</span>        </div>        <div id="regionContent" class="">        </div>        <div class="row margin-bottom20">            <a id="aw-back-to-news" href="#"><span class="">&#8592; <span class="multilingual">back-to-previous-page</span></span></a>        </div>    </div>Modifier 59 Fact Sheet<span class="last-updated">Last updated Jul 07 2020</span>Published on Feb 03 2016, Last Updated on Jul 07 2020back-to-previous-pageContent Share toolsStyles need to be added to the stylesheet when published#top-widget-controls {        margin-top: 0px;    }Loads facebook javascript apiTwitter button<a href="http://twitter.com/share"  class="twitter popup medicare-icon medicare-icon-twitter margin-right5">Tweet</a>Facebook buttonFB linkJS for twitter api<script>    $('.popup').click(function(event) {        var link = window.location.toString();            link = encodeURIComponent(link.substring(0,link.indexOf('!')));        var width  = 575,            height = 400,            left   = ($(window).width()  - width)  / 2,            top    = ($(window).height() - height) / 2,            url    = 'http://twitter.com/share/?text=Modifier 59 Fact Sheet ' + link,            opts   = 'status=1' +                    ',width='  + width  +                    ',height=' + height +                    ',top='    + top    +                    ',left='   + left;        window.open(url, 'twitter', opts);        return false;    });    </script>JS function that launches the fb modal when link/button is pressedPrint and email buttonsPrintEmailJurisdictions:J8A,J5A,J8B,J5B,ClaimsThis site requires JavaScript to function. Please enable JavaScript to continue.<span class="multilingual">jurisdiction-info-text</span>: <span id="jurisdicitonText"></span>You currently have jurisdictionselected, however this page only applies to these jurisdiction(s):.Definition:Distinct Procedural Service identifies procedures/services not normally reported together, but appropriately billable under the circumstances.Appropriate UsageDocumentation indicates two separate procedures performed on the same day by the same physicianRepresented by a different session or patient encounter, different procedure or surgery, different site, or separate injury (or area of injury)Use Modifier 59 with the secondary, additional or lesser procedure of combinations listed inNational Correct Coding Initiative(NCCI) edits.Use Modifier 59 when there isnoother appropriate modifier.Use Modifier 59 on the second initial injection procedure code when the IV protocol requires two separate IV sites or when the patient has to come back for a separately identifiable service.Correct Use of Modifier 59 with Cytopathology CodesWhen cytopathology codes are reported, the appropriate CPT code to bill is that which describes, to the highest level of specificity, what services were rendered. Accordingly, for a given specimen, only one code from a group of related codes describing a group of services that could be performed on a specimen with the same end result (e.g., 88104-88112, 88142-88143, 88150-88154, 88164-88167, etc.) is to be reported. If multiple services (i.e., separate specimens from different anatomic sites) are reported, modifier -59 should be used to indicate that different levels of service were provided for different specimens from different anatomic sites. This should be reflected in the cytopathologic reports.Inappropriate UsageCode combination not appearing in the NCCI editsSubmission of Evaluation and Management (E/M) CodesSubmission of weekly radiation therapy management codes (CPT 77427)The NCCI tables lists the procedure code pair with a modifier indicator of "0"Documentation does not support the separate and distinct statusExact same procedure code performed twice on the same dayMultiple administration of injections of the same drugIf a valid modifier exists to identify the servicesglobal-tags:J8A,J5A,J8B,J5B,ClaimsMessage Componentend aw-content-large-columnThese columns were hidden as the right hand components now show in the left navSTART: Help Right Panel HTMLSTART: Claims Help Panel J5ANeed help?Web HelpEducational VideosContact Us About ClaimsClaim Status/Patient Eligibility:(866) 518-328524 hours a day, 7 days a weekClaim Corrections:(866) 518-32537:00 am to 4:30 pm CT M-ThDDE Navigation & Password Reset: (866) 518-32517:00 am to 4:30 pm CT M-FDDE System Access: (866) 518-32957:00 am to 4:30 pm CT M-FEDI: (866) 518-32857:00 am to 5:00 pm CT M-FGeneral Inquiries:(866) 518-32857:00 am to 5:00 pm CT M-FClaim Status/Patient Eligibility:(866) 234-733124 hours a day, 7 days a weekClaim Corrections:(866) 580-59808:00 am to 5:30 pm ET M-ThDDE Navigation & Password Reset: (866) 580-59868:00 am to 5:30 pm ET M-FDDE System Access: (866) 518-32958:00 am to 5:30 pm ET M-FEDI: (866) 234-73318:00 am to 5:00 pm ET M-FGeneral Inquiries:(866) 234-73318:00 am to 5:00 pm ET M-FClaim Status/Patient Eligibility:(866) 518-328524 hours a day, 7 days a weekClaim Corrections/Reopenings:(866) 518-32857:00 am to 5:00 pm CT M-FEDI: (866) 518-32857:00am to 5:00 pm CT M-FGeneral Inquiries:(866) 518-32857:00 am to 5:00 pm CT M-FClaim Status/Patient Eligibility:(866) 234-733124 hours a day, 7 days a weekClaim Corrections/Reopenings:(866) 234-73318:00 am to 5:00 pm ET M-FEDI: (866) 234-73318:00 am to 5:00 pm ET M-FGeneral Inquiries:(866) 234-73318:00 am to 5:00 pm ET M-FEND: Claims Help Panel J5AEND: Help Right Panel HTMLNo FAQsSTART: WPS Design > Components > Site Components > Apply Structured StoryEND: WPS Design > Components > Site Components > Apply Structured StoryEND: PT Resourcestart base22 skin standardstart header markuplm-dynamic-title node marks location for dynamic title supportModifier 59 Fact SheetActionslm:control dynamic spot injects markup of layout controlasa.overlay marks the node that the AsaOverlayWidget will be placed in <div style="position:relative; z-index: 1;"><div class="analytics.overlay"></div></div>START: FooterStart: General Footer - WPS English > Components > Footer > General Footer.footerHeader {        color: #ffffff;        font-weight: bold;    }    .footerLink {        color: #ffffff;        font-size: 12px;        opacity: 0.75;        text-decoration: none;    }    .footerLink a {        text-decoration: none;    }    .footerLink a:hover {        color: #ffffff;        opacity: 1;        text-decoration: underline;    }    .borderOpacity {        border-left: 1px solid rgba(255, 255, 255, .5);        -webkit-background-clip: padding-box; /* for Safari */        background-clip: padding-box; /* for IE9+, Firefox 4+, Opera, Chrome */    }eNews Sign UpEnter your email above. 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All Rights ReservedSTART: Base22 Common Design > Components > Global Components > Desktop > Header > Header Navigation XWidget CallEND: Base22 Common Design > Components > Global Components > Desktop > Header > Header Navigation XWidget CallIncluding Dust Common Context HelpersSTART: Global Components > Create URLs for Global Links and Libraries DataThis component is needed because in the injector components we cannot get the user language (this component will be loaded in the Footer and used in the Header Top Right Injector component)END: Global Components > Create URLs for Global Links and Libraries DataSTART: Load label translations of current site areaEND: Load label translations of current site area