2025 HCPCS Modifiers X4

Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period

TAGS: patient types clinician surgeon reporting replacement clinicians include service treated focused orthopedic postoperative through examples seeing period provide acute performing limited particular defined treatment generally
Short DescriptionEpisodic/focused services
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code C - Carrier judgment
HCPCS Code Added Date January 01, 2018
HCPCS Action Effective Date January 01, 2018

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