Add PT Modifier 59 Data Set Items
- On the Data Sets Setup template, click Data Set and select PT Modifier 59.
The existing data set items associated with the PT Modifier 59 data set appear in the grid.
- Click Add.
The Template Data Sets Setup – [New Record] template opens.
- If applicable, click Diagnosis description to search and select a diagnosis.
The associated diagnosis code automatically populates.
- If applicable, click Provider and select a provider from Dbp Rendering Provider.
- In Code1, enter the CPT code for the first procedure.
- In Code2, enter the CPT code for the second procedure.
- In Modifier, enter the modifier as 59.
Note: To bill the secondary service or the procedure that is not a part of the primary service or procedure, the modifier 59 is added.
- In Code Match 1, enter the primary code with which the modifier 59 is attached and sent for billing.
- In Code Match 2, enter the secondary code with which the modifier 59 is attached and sent for billing.
- Click Save, and then click Close.
The newly configured data set item appears in the Data Sets Setup template.Note: To add another item, click Clear For Add in the Template Data Sets Setup – [New Record] template and repeat steps 1 and 2.