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Utilizing the 59 modifier can be complicated for physical therapists and chiropractors. When used correctly it will help to maximize your revenue. Be careful to use it properly because the 59 modifier is the most abused modifier and that can cause havoc in the form of denials, recoupment, and penalties.
Modifier 59 has confused many providers and it is easy to understand why. The modifier allows the provider to charge for two separate services that are not separately payable according to the National Correct Coding Initiative (NCCI).
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