Docs will be singled out to use X modifiers in 2015, say MAC officials

Why This Topic Matters

The guidance helps readers recognize which 2015 coding changes may affect claim submission, documentation, and payer communication. It is especially relevant for practices that bill spinal procedures, use Medicare claims, or need to align internal coding workflows with updated CPT and MAC expectations.

Article Sections

1. X modifiers and Medicare contractor outreach

   Discusses the introduction of Medicare’s X modifiers and the expectation that contractors may contact individual providers about reporting changes. It also covers general practitioner questions raised at the symposium.

2. E/M guideline change

   Summarizes a documentation update in the social history portion of evaluation and management guidance for the 2015 CPT manual. The section explains the broader documentation categories involved.

3. Spine changes

   Reviews several 2015 coding updates affecting spine-related services, including imaging guidance, myelography, artificial disc reporting, and vertebroplasty/kyphoplasty code revisions. It also notes related payer and facility reporting considerations.