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.

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APTA

APTA

Use of 59 or X Modifiers for Code Pairs Decision Tree

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