Author: ICS Staff

BCBS Sends 59 Modifier Letter

The Special Investigations Department of Blue Cross Blue Shield of Illinois (BCBSIL) recently sent some providers a letter regarding CPT 59 modifier. The letter informs the provider that he or she has been identified as “utilizing modifier 59 at least 50% with the following…therapeutic codes 97110, 97112, 97113, 97116, 97124, 97139, 97140, 97150, 97530, 97532, 97533 and 97535.” The letter cites the average modifier 59 usage with therapy codes as 18.37%.

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