Coding > Coding
modifier XS ????
PMRNC:
Many implementation dates with CMS have 90 day pre-implementation period.. you want to check that.
Merry:
Not for these modifiers. Jan 2015 is the date. Especially confusing for dermatology and podiatric coders. Stay tuned as we learn how to decipher the information.
jennifer8055:
very confusing...... ???
jennifer8055:
has anyone heard anything new on this??? i have contacted our local mac on this and they keep referring me to the "med learn matters" memo that went out in september. are these modifiers replacing the -59 or to be billed in addition to the -59?? we can't get anytype of specifics from our mac..... :-\
PMRNC:
This is the CMS transmittal to MAC's. http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R1422OTN.pdf
At bottom it says this:
However, these modifiers are valid modifiers even before national edits are in place, so contractors are not prohibited from requiring the use of selective
modifiers in lieu of the general.
If you read the transmittal it states these are newer modifiers meant to provide more descriptive components of the -59. Yes you would use one of the X modifiers when needed. MAC's won't stop recognizing -59 but it should only be used as modifier of last resort. There's also an article on Physicians Practice at: http://www.physicianspractice.com/blog/medicare-moves-replace-modifier-59 that gives a few examples.
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