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  • Reimbursement Policy KX Modifier - AAPC
    modifier must be added to the code and the KX, GA, or GZ modifier must not be used For all commodes (E0163-E0171), if it is not used as a raised toilet seat, the modifier KX modifier must be added to the code only if all of the coverage criteria as described in the Indication and Limitations of Coverage
  • Wiki KX MODIFIER - help, please! - AAPC
    The KX modifier is used by DME suppliers to ensure that the records exist and are available to support that the claim has followed Medical Policy and the LCD for that item In other words, it is a way to signal to Medicare, "I know you have special rules for this item and I am certifying that we have met all of those requirements so please pay
  • Wiki Colonoscopy after a positive stool test. - AAPC
    According to the article, we should append Modifier KX to the screening colonoscopy code to indicate that the service was performed as a follow-on screening after a positive result from a stool-based test I do not think we would need the R19 5 because of the KX modifier Sending one out today and will follow-up with result
  • Have You Mastered Using Modifier KX on Pacemaker Claims? July 7 . . . - AAPC
    Including modifier KX indicates that “documentation is on file verifying the patient has non-reversible symptomatic bradycardia (symptoms of bradycardia are symptoms that can be directly attributable to a heart rate less than 60 beats per minute (for example: syncope, seizures, congestive heart failure, dizziness, or confusion)),” notes
  • Wiki CPT 64483 What is the issue with modifier? - AAPC
    KX Modifier Requirements A diagnostic selective nerve root block (DSNRB) is identically coded as an epidural injection Therefore, when performing a DSNRB, the -KX modifier should be appended to the appropriate line to distinguish the procedure from an epidural injection This applies to TFESI CPT codes 64479, 64480, 64483, and 64484
  • Wiki - KX Modifier | Medical Billing and Coding Forum - AAPC
    it will tell you what the guidelines are for the DME codes If you are following the guidelines then you can use the KX modifier An example of when you can't add it is if you are doing custom orthotics (L3000) and they are not being used as an integral part of a brace If you add the KX then they can be paid
  • Avoid Denials Related to Gender and Sexual Orientation - AAPC
    These codes, and or reporting modifier KX, will exclude the claim from gender-conforming editing Per UnitedHealthcare (UHC) reimbursement guidelines, the UHC Community Plan will apply gender edits to Arizona, District of Columbia, Kansas, Missouri, and North Carolina Medicaid claims when diagnosis and or procedure codes are reported
  • Wiki - KX Modifier | Medical Billing and Coding Forum - AAPC
    Recently i have questions about KX modifier The description i have seen in Codify it is defined as a special circumstances modifier for PT, OT or SP services However, I have seen where it is used and approved by CMS for use with pacemaker placements (33274) Can I get further guidance on this modifier and what is required to be documented please


















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