New Specific Modifiers for Distinct Procedural Services

News & Press: Advocacy

Thursday, September 18, 2014

The Centers for Medicare and Medicaid Services (CMS) is establishing four new Healthcare Common Procedure Coding System (HCPCS) modifiers to define subsets of the -59 modifier, a modifier used to define a “Distinct Procedural Service.” The new modifiers will go into effect as of January 1, 2015 and are as follows:

XE - Separate Encounter, A Service That Is Distinct Because It Occurred During A Separate Encounter
XS - Separate Structure, A Service That Is Distinct Because It Was Performed On A Separate Organ/Structure
XP - Separate Practitioner, A Service That Is Distinct Because It Was Performed By A Different Practitioner
XU - Unusual Non-Overlapping Service, The Use Of A Service That Is Distinct Because It Does Not Overlap Usual Components Of The Main Service

For more information, please see the original document from CMS, available HERE.

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New Specific Modifiers for Distinct Procedural Services

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