Modifier 59: It’s Not a Shortcut

Learn how to apply Modifier 59 and its related X modifiers with confidence. This course breaks down compliance rules and documentation requirements to help you reduce denials, avoid audits, and ensure accurate reimbursement.

Learning Objectives:
• Define Modifier 59 and explain its role in bypassing NCCI edits.
• Differentiate between Modifier 59 and the more specific X modifiers (XE, XS, XP, XU).
• Apply Modifier 59 correctly in scenarios involving distinct sites, encounters, practitioners, or unusual services.
• Document medical necessity and distinct procedural circumstances to support modifier use.
• Identify common misuse patterns and audit risks associated with Modifier 59

Join Karen Whelan and earn one CEU with our live one-hour Webinar!

Start time: 12:00 pm CST on May 20, 2026