In Billing
Feb 25th, 2019
The Centers for Medicare & Medicaid Services (CMS) issued a policy change modification to the claims processing logic for Modifier 59 Distinct procedural service (and the optional XE, XS, XP, and XU) on February 15, 2019. These modifiers are only processed when applied to the Column 2 code in a bundled pair, per Correct Coding Initiative ...
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 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 ...