Modifiers can be confusing since we have so many of them. There are CPT® modifiers and Payer specific ones to navigate through. Today we will focus in the most commonly used ones with the Global Package and how to know when to apply them We will pick on the 59 modifier and give examples of GI procedures that are commonly denied and how to interpret the 59 modifier or X Modifiers.

 Modifier Purpose 
 Global Modifiers 
 Surgery vs E/M Modifiers 
 Modifier 59 and GI Denials 

Helpful Links: 
59 Modifier for GI CMS 
Modifier 53 for Colonoscopy 
NCCI Manual Chapter 6 Digestive CMS
Proper Use of Modifiers 59 & –X{EPSU} 
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