Advanced Search

Gastroenterology Coding Alert

Gastroenterology Coding:

Distinguish Between Modifier XS and 59 Use for Separate Procedures

Published on Tue Jul 15, 2025

Question: I have a report that documents one of our gastroenterologists performed a screening colonoscopy that turned therapeutic. The patient’s insurance requires modifier PT for the procedure, but I’m unsure if I should then use XS or 59 for the removal techniques of two polyps. My manager has instructed us to use PT/XS for Medicare and PT/59 for commercial payers. [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Gastroenterology Coding Alert