Jamie Dezenzo
True Blue
Hello all,
Pain procedures are causing me PAIN!
Medicare-INDIANA policy -for ASC to add KX modifier (A48042 eff 6/5/09)
ASCs must append modifier KX (requirements in the medical policy have been met) to all procedures for which fluroscopy or CT guidance is medically necessary to attest to the use of such imaging. Procedures requiring medically necessary Fluro or CT guidance include transforaminal epidural injections, paravertebral joint/nerve injections or denervations, and SI jt injections. In addition, subsequent epidural (interlaminar or caudal) injections after a failed or inadequate response to a blind injection, if performed, should be under flouro visualization or CT guidance.
With that said
example billed
64483 LT, KX, GA
rec'd denial stating:
The procedure code is inconsistent with the modifier used or a required modifier is missing.
Does anyone have any info on this
Pain procedures are causing me PAIN!
Medicare-INDIANA policy -for ASC to add KX modifier (A48042 eff 6/5/09)
ASCs must append modifier KX (requirements in the medical policy have been met) to all procedures for which fluroscopy or CT guidance is medically necessary to attest to the use of such imaging. Procedures requiring medically necessary Fluro or CT guidance include transforaminal epidural injections, paravertebral joint/nerve injections or denervations, and SI jt injections. In addition, subsequent epidural (interlaminar or caudal) injections after a failed or inadequate response to a blind injection, if performed, should be under flouro visualization or CT guidance.
With that said
example billed
64483 LT, KX, GA
rec'd denial stating:
The procedure code is inconsistent with the modifier used or a required modifier is missing.
Does anyone have any info on this