Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2020 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
Under certain circumstances, the physician may need to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day. CPT modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together but are appropriate under the circumstances.
CPT Modifier 59 Coding Examples
Podiatry: Example 1
Podiatry: Example 2
Dermatology: Example 3
Hematology/Oncology: Example 4
CPT modifier 59 should be uncommon but is appropriate if the procedures are performed at either:
Gastroenterology: Example 5
Surgery: Example 6
Cardiology: Example 7
Cardiology: Example 8
Electrophysiology: Example 9
Physical Medicine: Example 10
Laboratory Services: Example 11
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 05/03/2019