Can you bill a certain pair of codes during the same patient visit? Use this decision tree to help you determine if the code combination can be used and whether it requires an X modifier (XE, XP, XS, XU) or modifier 59. Although Medicare allows the modifier to be appended to either code, we identify Column 2 for simplicity.
By using this site, you are consenting to our use of cookies. To find out more visit our privacy policy.
Use of 59 or X Modifiers for Code Pairs Decision Tree
You Might Also Like...
Article
Remembering Peter A. Towne: A Life Dedicated to ServiceMar 31, 2026
Peter Alan Towne, PT, FAPTA, passed away on March 11, 2026, at the age of 90. He left an indelible mark on the association across nearly 70 years as an
Article
March Madness From a PT's Point of ViewMar 31, 2026
With March Madness in full swing, PTs and PTAs everywhere might be wondering: What is it really like to work with NCAA basketball athletes? For Chad Taylor,
News
APTA, Provider and Patient Groups Push Major Reforms to Prior AuthorizationMar 25, 2026
APTA has joined a broad coalition of national provider and patient organizations to release a new policy framework aimed at tackling one of the most persistent