Auditing modifiers--the two-digit codes attached to procedure codes to alter their descriptions--plays a key part in verifying that claims for healthcare services were filed accurately and processed ...

CMS is establishing four new, more specific modifiers that will eventually replace modifier 59 (distinct procedural service) and the new modifiers will be effective on Jan. 1, according to an ...

3. Over-utilization of -59. Do not use -59 to bypass the edits when a procedure is truly integral to the main procedure. Remember, simply because the Medicare edits may allow for a modifier doesn’t ...

On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...