tci ED Coding & Reimbursement Alert - 2019 Issue Q3

Reader Question: Get the Scoop on X{EPSU} modifiers

Question: Which payers accept the X{EPSU} modifiers? We’ve had very little success with them. Supercoder Subscriber Answer: The initial creation of the X{EPSU} modifiers did not provide much clarity as to whether coders should exclusively report them for Medicare Part B patients, or if other payers would accept them as well. However, many EDs have found in the years following that many payers do, in fact, allow for X{EPSU} modifiers to be appended to their claims. In order to streamline this process in the future, you should make sure to keep a log of any payers that do...

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