Table of Contents
What is the Xs modifier used for?
Modifier XS Separate structure – A service that is distinct because it was performed on a separate organ/structure. Modifier XU Unusual non-overlapping service – The use of a service that is distinct because it does not overlap usual components of the main service.
What is the XE modifier used for?
XE – “Separate encounter, A service that is distinct because it occurred during a separate encounter” This modifier should only be used to describe separate encounters on the same date of service.
Can modifier 59 and Xu be used together?
Effective for dates of service January 1, 2015 and following, Moda Health will accept modifiers XE, XS, XP, and XU and will expect providers to use modifiers XE, XS, XP, and XU in place of modifier 59 when appropriate.
What does Xs mean in CPT code?
Modifiers 59 or –XS are for surgical procedures, non-surgical therapeutic procedures, or diagnostic. procedures that: • Are performed at different anatomic sites, • Aren’t ordinarily performed or encountered on the same day, and.
What is the KX modifier?
The KX modifier, described in subsection D., is added to claim lines to indicate that the clinician attests that services at and above the therapy caps are medically necessary and justification is documented in the medical record.
What is Xu modifier?
Description. HCPCS Modifier XU — unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service. Guidelines and Instructions. HCPCS modifier XU indicates that a service is distinct because it does not overlap usual components of the main service.
What is PT modifier mean?
The –PT modifier indicates a screening colonoscopy has been converted to a diagnostic test or other procedure.
What is KH modifier?
KH — DMEPOS ITEM, INITIAL CLAIM, PURCHASE OR FIRST MONTH RENTAL. This modifier is used for a capped rental DME item. When using the KH modifier, you are indicating you are billing for the first month of the capped rental period.
How do you list multiple modifiers?
guidelines: order of modifiers If you have two pricing modifiers, the most common scenario is likely to involve 26 and another modifier. Always add 26 before any other modifier. If you have two payment modifiers, a common one is 51 and 59, enter 59 in the first position. If 51 and 78, enter 78 in the first position.
What is GN modifier?
Definitions. Modifier GN: Services delivered under an outpatient speech language pathology plan of care. Modifier GO: Services delivered under an outpatient occupational therapy plan of care. Modifier GP: Services delivered under an outpatient physical therapy plan of care.
What do the modifiers Xe XP XS Xu and 59 mean?
The submission of modifiers XE, XP, XS, XU, or 59 appended to a procedure code indicates that documentation is available in the patient’s records which will support the distinct or independent identifiable nature of the service submitted with modifier XE, XP, XS, XU, or 59, and that these records will be provided in a timely manner for review up…
What is the Xe modifier used for?
Modifiers XE, XS, XP, XU defined XE – “Separate encounter, A service that is distinct because it occurred during a separate encounter” This modifier should only be used to describe separate encounters on the same date of service.
What are the -X {EPSU} modifiers?
The -X {EPSU} modifiers are essentially a subset of modifier 59. CMS believes their usage will help reduce overpayment errors. Modifier 59 is not going away and will continue to be a valid modifier, according to Medicare.
What is list of modifiers in medical billing?
List of Modifiers in Medical Billing is a very important document and everyone who is working in the medical billing process should have the basic knowledge of these CPT Modifiers. We also called it CPT modifiers here CPT stands for Current Procedural Terminology.