Modifier XE
Modifier XE: Separate encounter — distinct service on the same day
Modifier Code
XE
Code Type
Billing modifier
When to Use Modifier XE
Use modifier XE when two services are provided in separate, distinct encounters on the same calendar day and need to be differentiated on the claim. It is a more specific subset of modifier 59, used when the distinction is specifically an encounter-level separation. Payers who have adopted the X{EPSU} modifiers may require XE in place of 59.
CPT Codes Commonly Paired with Modifier XE
These CPT codes are frequently billed alongside modifier XE in therapy practice:
Superbill Notes for Modifier XE
What to include: Document the specific start and stop times for each encounter on the superbill. Include a brief narrative explaining why the two services were separate and medically necessary.
Adding Modifier XE to a Superbill
Superbilled lets you add modifier codes directly to each line item on your superbill. When generating a superbill with modifier XE, make sure to include your NPI number, the patient's diagnosis code, date of service, fee charged, and amount paid. The modifier appears alongside the CPT code on the claim.