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Wiki 87804
- Thread starter tboone
- Start date
Leenahz
Guru
When I was in primary care billing a few months ago I believe it was billed as such:
87804-QW
87804-59
I would check a CCI edit program first, however.
Lena
87804-QW
87804-59
I would check a CCI edit program first, however.
Lena
mrssnail
Guru
How about with the New 59 explanation Modifiers?
CMS hopes to gain a better understanding of when and why providers use modifier -59 by introducing the following four new modifiers:
-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
***With Medicares new modifiers to provide further information regarding Modifier 59, would any of these apply or would you just simply still submit just the Modifier 59? I don't read that any of them would apply, but want other opinions.
CMS hopes to gain a better understanding of when and why providers use modifier -59 by introducing the following four new modifiers:
-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
***With Medicares new modifiers to provide further information regarding Modifier 59, would any of these apply or would you just simply still submit just the Modifier 59? I don't read that any of them would apply, but want other opinions.