How to Deal with Important Modifier 59 CPT Code Denials for 97353 and 97140?
Modifier 59 CPT Code are a number of commercial payers, including Anthem, Aetna, and Humana, adopted front-end claim edit policies for claims containing these modifiers in response to multiple announcements from CMS that providers were abusing modifier 59 vs 25 as a way to bypass edit pairs without providing adequate documentation to support those bypasses. […]