NCCI Edits & Modifier 59: Version 31.0

Rick GawendaLeave a Comment

Gawenda

This webinar will provide participants with information on NCCI Edits Version 31.0 that will be in effect with dates of service beginning on January 1, 2025 and lasting through March 31, 2025.

NCCI Edits & Modifier 59: Version 30.2

Rick GawendaLeave a Comment

Gawenda

This webinar will provide participants with information on NCCI Edits Version 30.2 that became effective with dates of service beginning on July 1, 2024 and lasting through September 30, 2024.

Modifier XE Examples

Currently, providers can use the -59 modifier to indicate that a code represents a service that is separate and distinct from another service with which it would usually be considered to be bundled. The primary issue associated with the -59 modifier is that it is defined for use in a wide variety of circumstances, such as a use to identify different encounters, different anatomic sites, and distinct services. Usage to identify a separate encounter is infrequent and usually correct; usage to define a separate anatomic site is less common and problematic; usage to define a distinct service is common and … Read More

Examples of When to Use Modifier XE

Currently, providers can use the -59 modifier to indicate that a code represents a service that is separate and distinct from another service with which it would usually be considered to be bundled. The primary issue associated with the -59 modifier is that it is defined for use in a wide variety of circumstances, such as a use to identify different encounters, different anatomic sites, and distinct services. Usage to identify a separate encounter is infrequent and usually correct; usage to define a separate anatomic site is less common and problematic; usage to define a distinct service is common and … Read More