Why must documentation support a distinct procedural service when using Modifier 59?

When using Modifier 59, it is essential for documentation to support a distinct procedural service to avoid insurance fraud. Modifier 59 is specifically used to indicate that a procedure or service was distinct or independent from other services performed on the same date. Proper documentation helps to provide evidence that these services are indeed separate and not an instance of billing for the same service twice, which could be construed as fraudulent behavior. Accurate and clear documentation supports the claim that each procedure was necessary and justified based on the patient's condition and the specific circumstances of care, thereby protecting healthcare providers from accusations of engaging in fraudulent practices. This focus on maintaining integrity in billing practices is crucial for compliance with both ethical and legal standards in the healthcare industry.