These reimbursement policies serve as a guide to assist you in accurate claims submissions and to outline the basis for reimbursement if Blue Cross and Blue Shield of North Carolina (Blue …

These reimbursement policies serve as a guide to assist you in accurate claims submissions and to outline the basis for reimbursement if the service is covered by an Anthem Blue Cross and …

Modifier 59: "Distinct Procedural Service: Under certain circumstances, the physician may need to indicate that a procedure or service was distinct or independent from other services performed …

Nov 12, 2025 · Distinct Procedural Service: Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services …

As of January 1, 2015, the American Medical Association (AMA) revised the definition and established four new subsets of modifier -59: -XE, -XS, -XP and -XU to ensure correct modifier …

This policy describes requirements for billing of distinct procedural service modifiers by providers contracted with AmeriHealth Caritas Pennsylvania Community HealthChoices.

Jan 5, 2015 · I. SUMMARY OF CHANGES: CMS is establishing four new HCPCS modifiers to define subsets of the -59 modifier, a modifier used to define a “Distinct Procedural Service.”