Author Topic: KX modifier for PT (Read 4745 times)

EC · « **on:** April 19, 2010, 12:47:15 PM »

Hi Michelle
I am doing billing for a private PT. How do I bill with KX modifier in CMS 1500 form? Could you please give me some examples?

Pay_My_Claims · « **Reply #1 on:** April 19, 2010, 12:50:51 PM »

thats new for me, I only thought the KX modifier was used in DME

blhoffman · « **Reply #2 on:** April 19, 2010, 02:06:58 PM »

The last article is about 2010 changes enacted after the Obama healthcare. Hope these links help.

http://www.cms.gov/MLNMattersArticles/downloads/SE0637.pdf

http://www.ipta.org/news/37744/Reimbursement-CMS-Issues-Guidance-on-the-Medicare-Physician-Fee-Schedu.htm

Pay_My_Claims · « **Reply #3 on:** April 19, 2010, 02:29:54 PM »

the first article instructions termed in 2007, its interesting since I only associated the KX with DME. It appears to be relative to the cap on PT ...

EC · « **Reply #4 on:** April 19, 2010, 03:29:15 PM »

Thank You blhoffman
this info would help. PS. is there a code that I have to include in the CMS 1500 form to indicate I am submitting the bill with KX modifier? what are the codes and which line should I put it under?? 24D???

Thank You

Medical Billing Forum · « **Reply #4 on:** April 19, 2010, 03:29:15 PM »

Michele · « **Reply #5 on:** April 19, 2010, 04:21:23 PM »

Yes 24D is for the modifiers, including KX.

blhoffman · « **Reply #6 on:** April 19, 2010, 08:06:28 PM »

Yeah, 2007 was the newest I could locate on the subject that had more detail. It was more a point of reference.

bumbleb · « **Reply #7 on:** April 19, 2010, 08:17:47 PM »

You put GP as the first modifer (as you normally do), and KX as modifier 2. HTH

Pay_My_Claims · « **Reply #8 on:** April 19, 2010, 08:20:09 PM »

more mods, more mods...LOL

Well thx for the other link BLH I kept that for future reference!!

EC · « **Reply #9 on:** April 20, 2010, 12:43:23 PM »

Thanks for all of your inputs ^^

Medical Billing Forum · « **Reply #9 on:** April 20, 2010, 12:43:23 PM »

Medical Billing Forum

News: