This is a “heads-up” notice to please review the details of the recent Medicare Outreach Article from CMS. We suggest that you check with your MACs on the implementation date for the new X modifiers.
STOP – Impact to You
New coding requirements related to Healthcare Common Procedure Coding System
(HCPCS) modifier -59 could impact your reimbursement.
CAUTION – What You Need to Know
Change Request (CR) 8863notifies MACs and providers that the Centers for Medicare &
Medicaid Services (CMS) is establishing four new HCPCS modifiers to define subsets of
the -59 modifier, a modifier used to define a “Distinct Procedural Service.”
GO – What You Need to Do
Make sure your billing staffs are aware of the coding modifier changes.
