Use modifier 59 with confidence.
Download this free chart to see which CPT codes form NCCI edit pairs—and when you can affix modifier 59 to ensure payment for both.
When Medicare deems two services “edit pairs,” it’ll only pay for one of them—unless you affix modifier 59, thus indicating that you provided each service separately and independently of the other. The problem is, CMS is constantly updating its list of edit pairs that are eligible for modifier 59—in fact, the agency made big changes for 2021—and if you don’t have the latest list, you could be leaving money on the table.
While Medicare’s list includes thousands of edit pairs, we’ve teased out all the ones that are specific to outpatient PTs, OTs, and SLPs for the year ahead and organized them into an easy reference chart. Download your free copy today, and make sure you always use modifier 59 appropriately—and thus, receive the payments you deserve. Simply fill out the form, and we’ll email your 2021 chart to you lickety-split.
