Definition Of Xu Modifier

Append when coding pairs are part of national correct coding initiative ncci procedure to procedure edits.

Definition of xu modifier. 15 2015 maximum frequency per day xe xs and xu jan. Page 4 of 8 appending xe xp xs xu or 59 to evaluation and management e m codes instead of using modifiers 24 or 25. The medicare national correct coding initiative ncci includes edits that define when two healthcare common procedure coding system hcpcs current procedural terminology cpt codes should not be reported together a correct coding modifier indicator ccmi of 0 indicates the codes should never be reported together by the same provider for. The submission of modifiers xe xp xs xu or 59 appended to a procedure code indicates that documentation is available in the patient s records which will support the distinct or independent identifiable nature of the service submitted with modifier xe xp xs xu or 59 and that these records will be provided in a timely manner for review.

Under certain circumstances it may be necessary to indicate that a procedure or service was distinct or independent from other non e m. 15 2015 pediatric and neonatal critical intensive care services xe xs and xu new policy becomes effective march 1 2015 dos procedure to modifier xe xp xs and xu feb. Published on feb 04 2016 last updated on jul 07 2020 back to previous page. Fb link print email.

One of the common misuses of modifier 59 is related to the portion of the definition of modifier 59 allowing its use to describe different procedure or surgery. Codes terms and definitions modifier definitions. Unusual non overlapping service the use of a service that is distinct because it does not overlap usual components of the main service. The code descriptors of the two codes of a code pair edit consisting of two surgical procedures or two diagnostic procedures usually represent different procedures or surgeries.

Modifier xu fact sheet. Modifier xs separate structure a service that is distinct because it was performed on a separate organ structure. You currently have jurisdiction selected however this page only applies to these jurisdiction s. Effective january 1 2015 hmsa will accept modifiers xe xs xp and xu and recommends that providers use these modifiers in place of modifier 59 when appropriate cms created the new modifiers to be used to report greater specificity in situations where modifier 59 was previously reported.

Placing modifier 59 xe xs xp or xu on the first of the two codes that are bundled on the claims appears awkward and as a result the biller tends to put these modifiers on the bundled cpt code appearing lower in the claim. Xe xp xs and xu feb. The policy change will allow this more billing friendly approach to the application of modifier 59 xe xs xp or xu. 1 2015 obstetrical xe xs and xu feb.

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. Modifier codes xe xp xs xu and 59.