In Coding
Jan 29th, 2018
When I last wrote “Modifier 59 – To Use or Not to Use”, I promised to follow it up with some real-life examples of when we should be using the 59 or the new Medicare X[ESPU] modifiers. Let’s look at some clinical examples and first determine if the 59 is applicable, and then assume it ...
Append these modifiers to your memory. Have you been using the “X{EPSU}” modifiers? The Centers for Medicare & Medicaid Services (CMS) unveiled the modifiers last summer to serve as “more selective versions of” modifier 59 Distinct procedural service. In case you’ve forgotten, here they are to refresh your memory: Modifier XE Separate encounter: Used to ...
In Billing
Feb 6th, 2015
Late last summer, the Centers for Medicare & Medicaid Services (CMS) announced the creation of four new modifiers (XE, XP, XS, XU), collectively called the -X{EPSU} modifiers, to define subsets of “Distinct Procedural Services,” as historically described with modifier 59 Distinct procedural service. Although the new modifiers have been active since Jan. 1, MLN Matters® SE1503 ...
In Billing
Feb 3rd, 2015
By Barbara Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CPCO There have been quite a few blogs and articles lately addressing Medicare’s new -X{EPSU} modifiers to describe subsets of the 59 modifier for “distinct procedural service” via Transmittal 1422 Change Request 8863, dated August 15, 2014, effective on January 1, 2015. They go into detail describing the ...
In CMS
Aug 26th, 2014
The Centers for Medicare & Medicaid Services (CMS) is establishing four new Healthcare Common Procedure Coding System (HCPCS) modifiers to define subsets of the -59 modifier, which is used to designate a “distinct procedural service.” Modifier 59 is the most widely used HCPCS modifier: It is defined for use in a wide variety of circumstances, and ...