tci Part B Insider - 2015 Issue 4

Modifiers: This MAC Offers Long-Awaited Modifier X{EPSU} Examples

Use these case scenarios to help guide your modifier 59 alternatives. CMS has been slow to offer examples on how to use Medicare’s new “X{EPSU}” modifiers, but the MACs are slowly but surely stepping in to share advice on their proper usage.  As we reported in The Insider v. 16 n 2, WPS Medicare updated its “Modifiers Fact Sheet” to reflect some tips on using the new modifiers, and this week, NGS Medicare stepped in with some solid examples, as follows: Modifier XE (Separate encounter): Patient is seen in the morning for a cardiovascular stress...

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