DecisionHealth, DecisionHealth - 2015 Issue 2 (February)
X modifier guidance from Medicare contractors and private payers
CMS has so far released few details for its new X modifiers, which took effect Jan. 1 for voluntary use on Medicare
claims in place of modifier 59 (Distinct procedural service). Instead, Medicare administrative contractors (MACs) and
some private payers have issued their own guidance for usage of modifiers XE (Separate encounter), XS (Separate
structure), XP (Separate practitioner) and XU (Unusual non-overlapping service).
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