Can you use modifier 26 and 59 together?
Then, can you use modifier 25 and 59 together?
Modifier 25 may be appended only to a code found in the E/M section of the CPT manual. Modifier 59 is used to indicate a distinct procedural service. Modifier 59 is the modifier of last resort, meaning it should be used only when no other established modifiers are more appropriate.
Additionally, when should modifier 59 be used? 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. One of the common misuses of this modifier is related to the portion of the definition that allows its use to describe a “different procedure or surgery.”
Beside above, what is the 26 modifier used for?
The CPT modifier 26 is used to indicate the professional component of the service being billed was "interpretation only," and it is most commonly submitted with diagnostic tests, including radiological procedures. When using the 26 modifier, you must enter it in the first modifier field on your claim.
Which code does the 59 modifier go on?
The definition of the 59 modifier per the CPT manual is as follows: Modifier 59: “Distinct Procedural Service” – Under certain circumstances, the physician may need to indicate that a procedure or service was distinct or independent from other services performed on the same day.