AHA Coding Clinic® for HCPCS - 2015 Issue 1

Application of the new X modifiers

With the implementation of the new subsets of modifier -59, Distinct Procedural Service, the Central Office on HCPCS has received numerous questions regarding how to apply the new X modifiers. According to the Centers for Medicare & Medicaid Services (CMS) the new subsets (i.e., XE, XS, XP, and XU) of modifier -59 have been acceptable for reporting purposes since January 1, 2015. These modifiers are defined as: • XE — Separate Encounter, A Service That Is Distinct Because It Occurred During A Separate Encounter • XS — Separate Structure, A Service That Is Distinct Because It Was Performed...

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