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
Final 2027 Physician Fee Schedule Has Mixed Payment Impact for Physical Therapy
The 2027 Medicare Physician Fee Schedule final rule includes meaningful progress toward modernizing payment for physical therapist services, featuring
Article
Physical Therapy in the News: October 2026
"Physical Therapy in the News" is a monthly series that highlights recent media coverage of the profession and APTA members.
Article
Remembering Ruth Wood: 75 Years of Moving the Profession Forward
Former APTA speaker of the House and board member held leadership roles at the chapter, national, and international levels.