What anesthesiologists need to know about modifier 59 replacements

CMS is establishing four new, more specific modifiers that will eventually replace modifier 59 (distinct procedural service) and the new modifiers will be effective on Jan. 1, according to an Anesthesia Business Consultants blog post.

Advertisement

CMS will continue to recognize modifier 59 “as a default,” however, the agency encourages physicians and coders that modifier -59 should not be used when a more descriptive modifier is available.

According to the blog post, anesthesia practices should defer changes to their systems until they receive further instructions from their Medicare Administrative Contractors and non-Medicare carriers. Anesthesia practices should also check the National Correct Coding Initiative in January, when CMS typically releases corresponding CCI guidance specific to each range of Healthcare Common Procedure Coding System codes.

More articles on anesthesia:

Rapid anesthesia M&A activity in 2014: A recap
Somnia Anesthesia to provide services at Memorial Medical Center of Las Cruces
5 key ways to strengthen the surgeon-anesthesiologist relationship

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Building a High-Performance Cardiac PET Program: What Health Systems Should Consider

Thursday, July 30
12:00 PM - 1:00 PM CDT

Presenters: Rupa Sanghani, MD, FACC, FASNC, Rush University Medical CenterBrendon Loiselle, CDL Nuclear Technologies

Advertisement

Next Up in Anesthesia

Advertisement

Comments are closed.