CMS is establishing four new HCPCS modifiers to define subsets ofthe – 59 modifier, a modifier used to define a “Distinct Procedural Service.”

EFFECTIVE DATE: January 1, 2015
Unless otherwise specified, the effective date is the date of service.

IMPLEMENTATION DATE: January 5, 2015

Disclaimer for manual changes only: The revision date and transmittal number apply only to red
italicized material Any other material was previously published and remains unchanged. However, if this revision contains a table ofcontents, you will receive the new/revised information only, and not the entire table ofcontents.

CMS Manual System Department
Pub 100-20 One-Time Notification Centersfor Medicare & Medicaid Services (CMS)
Transmittal 1422 Date: August 15, 2014

The fiull Change Request 8863 PDF can be found here.