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MLN Educational Web Guides

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FAST FACT

Continued Use of Modifier 59 after January 1, 2015

Providers may continue to use the -59 modifier after January 1, 2015, in any instance in which it was correctly used prior to January 1, 2015.  Change Request (CR) 8863 established four new Healthcare Common Procedure Coding System (HCPCS) modifiers (XE, XP, XS, and XU) to define specific subsets of the -59 modifier, a modifier used to define a “Distinct Procedural Service.”  Providers who want to use the new modifiers may use them according to the published definitions.  For more information, review MLN Matters® Special Edition Article #SE1503 on the CMS website.

 View previous fast facts

Welcome to the Medicare Learning Network® (MLN) Educational Web Guides Overview page, your destination for educational and informational resources related to certain CMS initiatives. The MLN Educational Web Guides provides information on Evaluation and Management (E/M) services; guided pathways to resources and topics of interest; lists of health care management products; as well as easy-to-understand billing and coding products.

The left hand column of this page has information on the following:

  • Documentation Guidelines for Evaluation and Management (E/M) Services: "Evaluation and Management Services Guide" the "1995 Documentation Guidelines for Evaluation and Management Services" and the "1997 Documentation Guidelines for Evaluation and Management Services."
  • Medicare Learning Network® (MLN) Guided Pathways (GPs): Four resource booklets (Guided Pathways Basic Medicare Resources, Guided Pathways Intermediate Medicare Resources 855A, Guided Pathways Intermediate Medicare Resources 855B, and MLN Guided Pathways Provider Specific Medicare Resources). The Guided Pathways curriculum is designed to allow learners to easily scan and select CMS resources by clicking on topics of interest.
  • Medicare Learning Network® (MLN) Suite of Products and Resources for Educators and Students: A list of health care management products that may be useful to supplement instructors' existing educational curriculum.
  • Medicare Learning Network® (MLN) Suite of Products and Resources for Billers and Coders:  Information on billing and coding products.
  • Medicare Learning Network® (MLN) Suite of Products and Resources for Inpatient Hospitals:  Products that are designed to assist in understanding the various prospective payment system rates and classification criterion for reimbursement to acute inpatient hospitals, home health agencies, hospice, hospital outpatient, inpatient psychiatric facilities, inpatient rehabilitation facilities, long-term care hospitals and skilled nursing facilities.
  • Medicare Learning Network® (MLN) Suite of Products and Resources for Rural Health Providers:  Publications and resources for the rural health community.
  • Medicare Learning Network® (MLN) Suite of Products and Resources for Compliance Officers:  Information on compliance issues facing health care professionals.

If you would like to contact the MLN, please email us at MLN@cms.hhs.gov.