Modifier XE: Separate encounter — distinct service on the same day

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

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.