Modifier XU vs 59

MandyBMC

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Hi all,

Does anyone here have any experience with modifier XU?

One of our providers wants to bill the following:

G0439 Annual Wellness
99202 +25 E&M
G0444 Annual Depression Screening
G0446 Intensive Behavior Therapy Cardio
G0442 Annual Alcohol Screening

We are concerned with using modifier 59 on the last 3 codes. Would XU be one the to use in this situation?

Any insight would be appreciated!
 

AGMoore

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Ringgold, Georgia
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looking at the definition of each modifier and checking CCI edits the XU modifier description seems to fit this situation better than 59.
 
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Euclid, OH
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modifier XU

Hi all,

Does anyone here have any experience with modifier XU?

One of our providers wants to bill the following:

G0439 Annual Wellness
99202 +25 E&M
G0444 Annual Depression Screening
G0446 Intensive Behavior Therapy Cardio
G0442 Annual Alcohol Screening

We are concerned with using modifier 59 on the last 3 codes. Would XU be one the to use in this situation?

Any insight would be appreciated!

Hi. Any X modifiers are inappropriate to append to E/M codes, including the G0442-0446 codes as you listed. 24 is incorrect unless it is during a global period and not related. To unbundle as you described I would use modifier 25 on the G codes.
 

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Do not use XU

Any X modifiers are inappropriate with E/M or the G codes you gave as examples. Modifier 25 on the G codes you gave as examples would unbundle them.
Thank you.
Julie
 
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