Ins outs HCPCS modifiers : CMS

THE INS AND OUTS OF HCPCS HCPČS Modifiers Modifier 59 is replaced with 4 new HCPCS modifiers. Here's what you need to know: XE XS SEPARATE STRUCTURE. SEPARATE ENCOUNTER. Distinct because it occurred during a Distinct because it was performed on a separate organ/structure. E.g. when the doctor administers a right SI joint injection (27096-RT) and right intraarticular shoulder injection (20610-RT). separate encounter. E.g. when the provider performs diagnostic nerve conduction studies and EMG in the morning (codes 95905 and 95886) and administers chemodenervation injections (64615) in multiple sites for treatment of chronic migraine in the afternoon. XP SEPARATE PRACTITIONER. Distinct because it was performed by a different practitioner. E.g. when Dr. A places a brachial plexus catheter for continuous infusion (64416) following the a shoulder surgery and his partner, Dr. B, refills and reprograms the patient's intrathecal implantable infusion pump (62370) before discharging them from the recovery XU UNUSUAL NON-OVERLAPPING SERVICE. Distinct because it does not overlap usual components of the main service. E.g. when the physician performs a diagnostic EEG (95812) and therapeutic greater occipital nerve block (64450), during the same encounter. area. 4 SuperCoder.com Inspired by Coders, Powered by Coding Experts The Coding Institute LLC, 2222 Sedwick Drive, Durham, NC 27713 www.codinginstitute.com Phone: (866)-228-9252 E-Mail: [email protected]