HCPro, JustCoding Outpatient - 2021 Issue 32 (August)
Q&A: Using the -X{EPSU} modifiers in lieu of modifier -59
August 23rd, 2021
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Article Overview
This article is a brief coding Q&A for professionals working with outpatient hospital and physician modifier reporting. It discusses the general topic of when the -X{EPSU} modifiers may be used instead of modifier -59, notes the CMS position on their use, and references a CMS learning resource for additional information. It is relevant for coders and compliance staff who need to stay current with modifier reporting guidance and terminology.
Why This Topic Matters
Modifier reporting affects claim accuracy and consistency, so understanding the relationship between modifier -59 and the -X{EPSU} modifiers is important for coders reviewing distinct procedural service scenarios.
What You Will Learn
- The general purpose of the -X{EPSU} modifier family
- How the article frames the relationship between modifier -59 and the -X{EPSU} modifiers
- Which organizations and educational resources are referenced for additional guidance
- The type of outpatient hospital and physician coding context addressed by the Q&A
Who Should Read This
- Medical coders
- Outpatient hospital coding staff
- Physician practice coders
- Compliance professionals
- Coding educators
Modifiers Discussed
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