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Pathology/Lab Coding Alert

Reader Questions:

Get Specific With X{ESPU} Modifiers

Published on Mon Apr 15, 2024

Question: What are some pathology or laboratory examples of when we might use one of the X{ESPU} modifiers instead of modifier 59? Missouri Subscriber Answer: The Centers for Medicare & Medicaid Services (CMS) advises that, when medically appropriate, you use the most specific modifier to override a National Correct Coding Initiative (NCCI) edit pair for services for the same patient on the [...]
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