Which modifier do you use if you do manual therapy in an area that you did not adjust?

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Two procedures on the same day that occur in different areas are considered distinct procedures. In that situation, you use modifier 59 to indicate a distinct procedural service, allowing separate reimbursement for the manual therapy performed in a different area from where you did the adjustment. This signals to the payer that the second service isn’t bundled into the first one because it’s a separate procedure. The other modifiers don’t convey this distinction: 25 is for a separate evaluation and management service, 26 refers to the professional component, and 52 means reduced services.