Consistent misuse and abuse of modifier 59 has put it on the Office of the Inspector General’s active radar. Meaning they are just waiting for you to slip up.

To make matters worse, modifier 59 sub-modifiers (XE, XS, XP, XU) and varying carrier guidelines, make it even more difficult to get it right. In fact, CMS Transmittal 1422 projected error rates for modifier 59 at $320 million in physician claims.

You need to get a firm handle on complying with modifier 59 guidelines – including the four new sub-modifiers – XE, XS, XP and XU.

Check out the Modifier 59 Vlog at https://youtu.be/61tNs7Mh-Kw.