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Industry News: Tennessee

CORRECT USAGE OF MODIFIER 59
Thursday, March 04, 2010
Due to recent provider inquiries regarding incorrect denials of CPT codes billed with modifier 59, Cahaba ran a report to identify all claims denied as duplicates with the use of modifier 59. The report is being researched and adjustments will be made to incorrectly denied claims using an automated system. Until the claims have all been adjusted, our Clerical Error Reopening lines will not adjust claims denied as a duplicate appended with modifier 59 to avoid creating overpayments.

LMRP Updates - Tennessee - CIGNA
Thursday, February 04, 2010

Cigna – Medicare Tennessee will retire LMRPs:

  • 85651 - Sedimentation Rate, Erythrocyte; Non-automated
  • 85652 - Sedimentation Rate, Erythrocyte; Automated

Modifier 59: Article - Reminder
Wednesday, December 02, 2009

Cahaba Government Benefit Administrators®, LLC -MAC for Jurisdiction 10, which includes Alabama, Georgia and Tennessee

Modifier 59 is an NCCI-associated modifier that is often used incorrectly. This modifier should be used to identify procedures/services that are not normally reported together, but are appropriate under the circumstances.