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
Share This
You Might Also Like...
Article
CMS Releases New Details on the ACCESS Model, Including Payment StructureMar 11, 2026
On Feb. 12, the Centers for Medicare & Medicaid Services released more details regarding its Advancing Chronic Care with Effective, Scalable Solutions,
Article
57th McMillan Lecture: Movement Is the Core of Who We AreMar 10, 2026
Christopher Powers, PT, PhD, FAPTA, delivers the 57th Mary McMillan Lecture at APTA CSM in Anaheim, California. In delivering the 57th Mary McMillan Lecture
News
APTA's 'Founded by Women' Toolkit Celebrates Women's Impact on the ProfessionMar 9, 2026
In 1921, a visionary group of women founded APTA and set our profession on a bold, new course. Their pioneering leadership not only established the association