Proper Modifier -59 Use for Postoperative Pain Management by Anesthesiologists

In a June blog post, we noted that CMS had updated an MLN Matters article to clarify the proper use of modifier -59.

When this MLN Matters article (SE1418) was released, the American Society of Anesthesiologists issued a Physician and Practice Management Memo to bring attention to the publication.

In this memo, ASA also provides guidance on when physician anesthesiologists may use modifier -59 when reporting a postoperative pain procedure separately from an anesthesia service.

If your facility conducts pain management billing associated with anesthesiologists delivering postoperative pain management, make sure to review the ASA's modifier -59 memo (pdf).

For more than 30 years, PGM Billing, one of the country's leading medical billing agencies, has provided anesthesiologist and pain management practices with billing solutions that ensure maximum reimbursement, reduced costs and streamline practice operations. Contact PGM to learn what its team of certified medical coders and billing experts can do for you.


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