Wiki x_ modifiers use with post op pain blocks

[kcf_r_o_g@live.com]

Should we be using the new X_ modifiers with post op pain blocks or stay with the '59'?? Example: A femoral ISB (64448) was placed 2 hours pre-op and it was the same Anesthesiologist who provided the care during surgery. Is that considered a separate encounter and use the 'XE' modifier? OR is that considered same encounter for the procedure and use the '59' modifier? Any thoughts???

Kym

 

[dwaldman]

I have held off on switching to these modifiers for now. I haven't seen anything from our Medicare carrier to start to make the switch.

 

[KMCFADYEN]

We have done the same as Dwaldman.