Modifier Code XU. This modifier is used to identify unusual non-overlapping services, the use of a service that is distinct because it does not overlap usual components of the main service.
Medicare Modifiers XE, XP, XS, XU: Examples, Specific Modifiers for Distinct Procedural Services – AAPC …
Medicare Modifiers XE, XP, XS, XU: Examples, Medicare Modifiers XE, XP, XS, XU: Examples, 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, 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.
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 …
Modifier XS Separate structure – A service that is distinct because it was performed on a separate organ/structure. Modifier XU Unusual non-overlapping service – The use of a service that is distinct because it does not overlap usual components of the main service. When to.
7/8/2019 · Modifier 59 Distinct procedural service acts as a “universal unbundling” modifier for procedures that are normally included as part of another procedure, or “bundled.” The modifier tells the payer that there are special circumstances that warrant separate reporting (and payment) of the unbundled code.
2/3/2015 · Another example of the XS modifier can be found in my favorite specialty, Otolaryngology. The surgeon often performs one procedure in the left sinuses and a bundled service (component code) in the right sinuses (or visa versa). The only way to get paid for these two bundled codes performed on the left and right is to use the 59 modifier.
1/1/2016 · These modifiers include: XS, XP, XU , and XE, and can all potentially be used in place of the “59” modifier . CMS states anytime 1 of these 4 modifiers can be used, it should be used over the “59” modifier . The “XS” modifier is used to represent 2 procedures performed in the same encounter, but on different organs or structures.
3/3/2017 · A modifier changes, clarifies, qualifies, or limits a particular word in a sentence in order to add emphasis, explanation , or detail. Modifiers tend to be descriptive words, such as adjectives and adverbs. Modifier phrases, such as adjective clauses and adverbial phrases, also exist and tend to describe adjectives and adverbs.
