Private Payer: Cigna Updating Modifier 59 Documentation Requirement List


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Topic Private Payer: Cigna Updating Modifier 59 Documentation Requirement List
Background Cigna will add 49 code pairs to the Modifier 59 Documentation Requirement List. To view the entire list of code combinations requiring documentation, visit the secure Cigna for Health Care Professionals website (CignaforHCP.com > Useful Links > Policies and Procedures > Claim Editing Policies and Procedures).
Regulating Body Cigna
Compliance Date 8/19/2013
Consequences Physicians billing for services must append Modifier 59 to the disallowed code and submit documentation, or the service will be denied.
Next Steps Physicians should make sure their billing staff are aware of these changes.​
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