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Reimbursement Policy ManualPolicy #:RPM027Policy Title:Modifiers XE, XS, XP, XU, and 59 Distinct Procedural ServiceSection:ModifiersSubsection:NoneScope: This policy applies to the following Medical
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How to fill out distinct procedural service modifiers
How to fill out distinct procedural service modifiers
01
Identify the primary procedure code that requires the use of a distinct procedural service modifier.
02
Determine if any additional procedures were performed during the same encounter that also require reporting with distinct procedural service modifiers.
03
Assign the appropriate distinct procedural service modifiers based on the specific circumstances of each additional procedure.
04
Include the distinct procedural service modifiers on the claim form when submitting for reimbursement.
Who needs distinct procedural service modifiers?
01
Healthcare providers, medical coders, and billing specialists who are responsible for accurately coding and billing for procedures that require reporting with distinct procedural service modifiers.
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What is distinct procedural service modifiers?
Distinct procedural service modifiers are used to identify procedures that have been modified in some way, such as multiple procedures performed during the same visit.
Who is required to file distinct procedural service modifiers?
Healthcare providers and facilities are required to file distinct procedural service modifiers when necessary for accurate billing and coding purposes.
How to fill out distinct procedural service modifiers?
Distinct procedural service modifiers should be filled out on the CMS-1500 or UB-04 claim form using the appropriate modifier codes.
What is the purpose of distinct procedural service modifiers?
The purpose of distinct procedural service modifiers is to ensure that healthcare services are accurately documented and billed for reimbursement purposes.
What information must be reported on distinct procedural service modifiers?
Distinct procedural service modifiers should include information such as the reason for the modification, the specific procedures being performed, and any relevant documentation.
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