The Centers for Medicare and Medicaid Services (CMS) has announced a significant change to the use of modifier 59, XE, XP, XS and XU effective July 1, 2019. Currently, the multi-carrier system (MCS) claims system processing logic for modifier 59, XE, XP, XS and XU be appended to the column two CPT code of a procedure to procedure (PTP) edit in order to bypass the edit and allow both CPT codes to be paid by the Medicare Administrative Contractor (MAC).
Beginning with dates of service on and after July 1, 2019, the CMS will
The content here is for members only log in here or sign up.
Click HERE to view the latest NCCI edits. If you would like to read some of my previous articles on the new subsets of modifier 59 (XE, XP, XS, and XU), click HERE.
I hope you enjoyed this article. Thank you for being a Gold Member!
All material posted on our website is the intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without the prior written approval of Gawenda Seminars & Consulting, Inc.
This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.