A procedure code followed by the modifier-99 indicates

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Multiple Choice

A procedure code followed by the modifier-99 indicates

Explanation:
Modifier 99 signals that more than one modifier applies to the same procedure code. It acts as a flag that multiple modifiers accompany that single service, so you would attach -99 after listing the relevant modifiers to show there are several modifiers in total. It’s not about a single modifier or about primary modifiers; those concepts refer to individual modifier codes, whereas -99 indicates the presence of multiple modifiers. Some payers require documentation or have rules about using 99, but the core idea is that the code has multiple modifiers attached.

Modifier 99 signals that more than one modifier applies to the same procedure code. It acts as a flag that multiple modifiers accompany that single service, so you would attach -99 after listing the relevant modifiers to show there are several modifiers in total. It’s not about a single modifier or about primary modifiers; those concepts refer to individual modifier codes, whereas -99 indicates the presence of multiple modifiers. Some payers require documentation or have rules about using 99, but the core idea is that the code has multiple modifiers attached.

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