Urgent care facilities play a vital role in the healthcare ecosystem, providing convenient access to medical care for non-life-threatening conditions. To ensure proper reimbursement for services provided in urgent care settings, it’s essential to use appropriate modifiers on claims. We list the most common modifiers used in urgent care billing and provide guidelines for their […]
Modifier 25, Modifier 59, Modifier 76, Modifier 77, Modifier 99, Modifier AQ, Modifier Codes, Modifier CR, Modifier CS, Modifier GP, Modifier GQ, Modifier GT, Modifier XE, Modifier XP, Modifier XS, Modifier Xu, X Modifiers, X{EPSU} Modifiers
Precision is key to ensuring proper reimbursement and maintaining compliance. Among the various tools at a coder’s disposal, modifiers play a crucial role in accurately describing the circumstances under which services are provided. Medicare Modifier XS, in particular, holds significant importance when it comes to reporting procedures or services performed on different anatomic sites or […]
Billing Codes, CMS, Coding, coding and billing, Coding Intricacies, medicare, Medicare Modifier XS, Medicare Modifiers, Modifier XE, Modifier XP, Modifier XS, Modifier Xu, Modifiers, X{EPSU}, X{EPSU} Modifiers, XE, XP, XS, XU
Effective January 1, 2022, the Centers for Medicare & Medicaid Services (CMS) introduced four new HCPCS modifiers for Medicare claims: XE, XP, XS, and XU. These modifiers provide more specificity around the circumstances of service provided. Using these new modifiers correctly is essential for ensuring accurate reimbursement. We provide an overview of modifiers XE, XP, […]
CMS, HCPCS, Medicare Modifiers, Modifier XE, Modifier XP, Modifier XS, Modifier Xu, XE, XE: Separate encounter, XP, XP: Separate practitioner, XS, XS: Separate structure, XU, XU: Unusual non-overlapping service