tci General Surgery Coding Alert - 2015 Issue 6

Modifier Update: CMS Speaks: X{EPSU} Offers 'No Benefit' For Now

You may keep using 59 until further notice.  Many surgery practices have been getting busy or getting worried regarding when and how to implement the X{EPSU} modifiers, which CMS created to avoid overuse of modifier 59 (Distinct procedural service). Absent specific CMS instruction, you may still be waiting, or you may be trying to follow some payer-specific advice about the modifiers. But now the CMS is advising practices to stick with 59 for the time being. Background: Last summer, CMS announced that it was debuting four “X” modifiers to use as subsets of modifier 59.The X...

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