Appropriate Usage. Use with coding pairs that are part of the National Correct Coding Initiative (NCCI) procedure-to-procedure edits. Use when documentation indicates the service was not part of the usual components of the main service. Use Modifier XU with the Column 2 procedure code in the NCCI files.
Providers should evaluate other modifiers such as the RT/LT identifying right and left, F1 – F0 to identify fingers, T1-T0 to identify toes and E1-E4 to identify eyelids. Evaluate additional modifiers to determine appropriate usage. Modifier XU Fact Sheet.
2/28/2020 · The NCCI code files show the modifier application as 0 Documentation supports the service is a component of the main service Exact same procedure code performed twice on the same day Multiple administration of injections of the same drug Submitted with Modifier 59 Additional Information. National Correct Coding Initiative Edits, Modifiers 59, XE, XP, XS, XU – Distinct Procedural Service, Modifier 59 and New Modifiers XE, XS, XP, XU, Specific Modifiers for Distinct Procedural Services – AAPC …
Modifiers XE, XS, XP, XU, and 59 – Distinct Procedural Service, modifiers to define subsets of the -59 modifier , a modifier used to define a “Distinct Procedural Service.” These modifiers are XE, XS, XP, and XU , and collectively they are referred to as -X{EPSU}. The -X{EPSU} modifiers are more selective versions of the -59 modifier . (CMS, 3/13/2019 · Appropriate Use of Modifiers XE, XP, XS, XU, or 59. Modifier 59 is the most widely used HCPCS modifier. This modifier is associated with considerable misuse and high levels of manual audit activity, leading to reviews, appeals, and even civil fraud and abuse cases. The introduction of four ‘X’ subset modifiers is designed to reduce the improper use …
1/5/2021 · Modifiers XE, XS, XP and XU describe specific information and circumstances regarding why two or more services are appropriately reported together. Modifiers XE, XS, XP and XU take precedence over the use of modifier 59 due to their greater specificity. Documentation must be on file and available for viewing upon request to support that
