hsmith67
Guru
CMS introduced X (E, U, S, P) 1/1/15. I am being told it is correct to use modifier XE in place of 59 in the following situations:
1) Established out patient is seen for a problem visit and has an EKG done. Bill as 9921"x" and 93000-XE (NOTE, the EKG was done during the same encounter, patient came into office only once during the day).
2) Established out patient visit is seen for flu like symptoms. Bill as 9921"x", 87804-QW, AND 87804-QW-XE (NOTE, the visit and flu test were done during the same visit/encounter, patient only came to office one time during the date of service).
Please provide any helpful information on correct use of modifier XE if the above is not correct use, examples of correct use of XE would be greatly appreciated if the above is not correct.
Thanks very much!
Hunter Smith, CPC
1) Established out patient is seen for a problem visit and has an EKG done. Bill as 9921"x" and 93000-XE (NOTE, the EKG was done during the same encounter, patient came into office only once during the day).
2) Established out patient visit is seen for flu like symptoms. Bill as 9921"x", 87804-QW, AND 87804-QW-XE (NOTE, the visit and flu test were done during the same visit/encounter, patient only came to office one time during the date of service).
Please provide any helpful information on correct use of modifier XE if the above is not correct use, examples of correct use of XE would be greatly appreciated if the above is not correct.
Thanks very much!
Hunter Smith, CPC