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June 2015

ClaimsXten™ to identify certain radiology procedures for multiple radiology editing in 2016

In the first quarter of 2016, Blue Cross Blue Shield of Michigan will begin using McKesson’s clinical coding solution, ClaimsXten to identify certain radiology procedures performed during the same session that are eligible for a reduction in payment when submitted by the same physician.

Keep in mind that Blue Cross will support the use of modifiers 59, XE, XS and XU, which indicate that unique circumstances exist for certain patients. The need for the use of a modifier should be documented in the patient’s medical record.

See other article on ClaimsXten in this issue of The Record.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.
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