Health Information Management

Pay-per-view: Apply CMS’ new -X{EPSU} modifiers

APCs Insider, May 29, 2015

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When CMS introduced the -X{EPSU} modifiers in August 2014 to be used in specific instances to replace modifier -59 (distinct procedural service), the agency encouraged "rapid migration" to the new modifiers.
However, without specific guidance on how to use these modifiers for a variety of procedures, and lack of NCCI edits regarding them, providers have been wary about their use. Despite introducing the new modifiers, CMS is still accepting modifier -59 in all instances it could be properly reported previously.
In a March poll of 80 HCPro webcast participants, attendees were evenly split when asked whether they were continuing to use modifier -59 or exclusively using the new modifiers.
Continue reading "Apply CMS' new -X{EPSU} modifiers" on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the May issue.

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