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October 2021

Clarification: ClaimsXten Modifier 59 requirements

A July 2021 Record article about appending modifier 59 to multiple claim lines stated that you must submit medical records when using modifier 59 on four or more claim lines. It should have stated that if modifier 59 is appended to more than four services, the claim will suspend to allow manual review of lines appended with modifier 59 when attachments are included. Otherwise, each service appended with modifier 59 will be denied for lack of supporting documentation. 

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