KB and 99 Modifiers-More than Four Modifiers
KB Beneficiary requested upgrade for ABN, more than four modifiers identified on claim.
99 Modifier overflow.
The KB modifier only applies to beneficiary upgraded claims for DMEPOS where the supplier obtained an ABN and there are more than four modifiers on the claim line. The 99 modifier is used in any other situation when a claim line has more than four modifiers.
When a supplier uses more than four modifiers, the KB or 99 must be added as the fourth modifier to the HCPCS code. On paper claims, the remainder of the modifiers must be listed in Item 19 with an indicator as to which line they apply to. On electronic claims, the remainder should be entered in the NTE segment, the 2400 loop.
These are not all inclusive lists.
Durable medical equipment (DME ) medical billing. How to do billing for Medicare and what equipment covered by Medicare. DME Modifiers and CPT codes.
Tuesday, January 11, 2011
Subscribe to:
Post Comments (Atom)
Popular Posts
-
Modifiers for DME Services Several DME categories and frequently used modifiers are listed below. Inexpensive or Routinely Purchased DME ...
-
KX Modifier-Documentation on File Many policies require the KX modifier be added to the code to indicate specific required documentation i...
-
This clarification in date of service (DOS) applies to the following oxygen concentrators and oxygen transfilling equipment, HealthCare Com...
-
Prosthetics and Orthotics Many of the HCPCS codes in this category require the use of a K modifier. Reference the Lower Limb Prostheses po...
-
Modifiers for DME Services Several DME categories and frequently used modifiers are listed below. Inexpensive or Routinely Purchased DME ...
-
GA, GZ, GY Modifiers-ABN/Not Reasonable and Necessary/Statutorily Excluded The GA modifier is submitted on claims when the supplier has an...
-
Osteogenesis Stimulators E0747, E0748 and E0760 are Class III Devices that must be submitted with a KF modifier. The KF modifier indicates...
-
Incontinent Products Providers must use the appropriate HCPCS code for the size of the recipient. • Codes T4521 – T4528 small, medium, ...
-
Capped Rental Items Items in this category are provided on a rental basis; therefore, RR is one of the modifiers appropriate with these it...
-
Redetermination Request Form Checklist Review the Standard Paper Remittance (SPR) or Medicare Electronic Remittance Advice (ERA) for the c...
No comments:
Post a Comment