I’ve actually been doing research on this subject and have found two separate reasons that are acceptable to payors and to Medicare for why/when a modifier -59 is appropriate to use on the 62311 when ...

Auditing modifiers--the two-digit codes attached to procedure codes to alter their descriptions--plays a key part in verifying that claims for healthcare services were filed accurately and ...

3. Over-utilization of -59. Do not use -59 to bypass the edits when a procedure is truly integral to the main procedure. Remember, simply because the Medicare edits may allow for a modifier doesn’t ...

Modifier 59 is the most commonly used and abused modifier for Medicare reimbursement of CPT codes in acupuncture, breast biopsies, physical therapy, radiology, surgery and other medical practices.

Modifier –59 is used when we want to communicate with the insurance companies that we have a distinct procedural service, independent from other services performed on the same day.