2. Under-utilization of -59: It’s not taboo. When the Medicare edits (NCCI) correct coding modifier indicator (i.e., 1) allows a modifier to indicate a “separate” and “distinct” procedure, users may ...

On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...

CMS is establishing four new, more specific modifiers that will eventually replace modifier 59 (distinct procedural service) and the new modifiers will be effective on Jan. 1, according to an ...

Auditing modifiers--the two-digit codes attached to procedure codes to alter their descriptions--plays a key part in verifying that claims for healthcare services were filed accurately and processed ...