Guest guest Posted July 3, 2001 Report Share Posted July 3, 2001 Our facility uses a 3-M product to edit our claims for the CCI. We have been told by the billing department that any time we use 97530 (therapeutic activity), 97535 (Self care) or 97537 (community/work reintegration) with any other CPT code under the Therapeutic Procedure heading in the CPT 2001 book we need to use a 59 modifier. I have made changes in our charge master based on information from the APTA web site. (HCFA Correct Coding Initiative 10/10/2000), however the above are new to us. Is anyone else experiencing the same problem. I have also heard that if you use the 59 modifier frequently this may trigger an audit of your facility. Quote Link to comment Share on other sites More sharing options...
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