DME Modifier

[JodiMott]

Anyone familiar with a modifier to use with DME HCPC's that signifies that patient opted to pay out of pocket for an upgrade on a piece of medically necessary equipment? I want to bill for the medically necessary item but also report to payers when a patient chooses the add-on's.

 

[SharonCollachi]

Here is an article, with a handy chart on different modifiers for different upgrade scenarios.

 

[JodiMott]

Here is an article, with a handy chart on different modifiers for different upgrade scenarios.

Thank you!