News & Press: Quality Improvement

New Specific Modifiers for Distinct Procedural Services

Thursday, September 18, 2014  
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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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