tci Medicare Compliance & Reimbursement - 2015 Issue 3

Modifiers: Dearth Of Information Could Lead To Denials

Use new X{EPSU} modifiers with caution. The Centers for Medicare & Medicaid Services (CMS) and the MACs have been slow to give specific guidance on Medicare’s new “X{EPSU}” modifiers. If you are eager to start reporting these modifiers, read on for advice on how to use them correctly. Some coders report that they’ve already received denials for the new modifiers, which were meant to take some of the strain off of the use of modifier 59 (Distinct procedural service). WPS Medicare issued fact sheets recently for modifiers XE, XP, XS and XU (www.wpsmedicare.com/j8macpartb/resources/modifiers/), but...

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