The Proper Use of Modifiers 59 & –X{EPSU}

The Medicare National Correct Coding Initiative (NCCI) includes Procedure-to-Procedure (PTP) edits that indicate when providers shouldn’t report certain HCPCS or CPT codes together. Modifier 59 or the more specific –X{EPSU} modifiers is used to identify procedures/services, other than E/M services, that are not normally reported together but are appropriate for certain situations. To know more, keep reading!

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