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Wiki KX modifier - Has anyone run
- Thread starter JJENNETT
- Start date
Tcarmany
Contributor
KX Modifier
We've recently received an edit on C1785 - DC Pacermaker requiring a modifier. Is "KX" the modifier that they require? We implanted an DC Pacer
33208 on the left sublcavian side of the patient.
Tcarmany, CPC
GSH/HIMS Dept
We've recently received an edit on C1785 - DC Pacermaker requiring a modifier. Is "KX" the modifier that they require? We implanted an DC Pacer
33208 on the left sublcavian side of the patient.
Tcarmany, CPC
GSH/HIMS Dept
dshirley13
Guest
- Messages
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- Best answers
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CMS Manual Systemwww.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/...
N 32/320.4/ Cardiac Pacemaker Claims Require the KX Modifier ... 33206, 33207, or 33208, as unprocessable when the - KX modifier is not present.
This is the Medicare transmittal...we weren't clear whether to go back and add the modifier or not.
N 32/320.4/ Cardiac Pacemaker Claims Require the KX Modifier ... 33206, 33207, or 33208, as unprocessable when the - KX modifier is not present.
This is the Medicare transmittal...we weren't clear whether to go back and add the modifier or not.
Misty Dawn
Guru
I called my Noridian (provider contact center) and asked her these two things:
Do we need to go back and add the KX modifier to claims from 8/13/13 to now? No. Claims will not be denied until the July 7 2014 implementation date as outlined in the MLN Matters MM8525.
When do we need to start using the KX modifier for these claims? You can use the updated ICD 9 codes with the KX modifier on claims on or after 8/13/13 to train providers/staff and get everything ironed out before the implementation date July 7 2014.
So basically at least for my area (WA) you can start using these now if you want to but you will not recieve denials for not using the KX modifer/ICD 9 until July 7/2014.
Do we need to go back and add the KX modifier to claims from 8/13/13 to now? No. Claims will not be denied until the July 7 2014 implementation date as outlined in the MLN Matters MM8525.
When do we need to start using the KX modifier for these claims? You can use the updated ICD 9 codes with the KX modifier on claims on or after 8/13/13 to train providers/staff and get everything ironed out before the implementation date July 7 2014.
So basically at least for my area (WA) you can start using these now if you want to but you will not recieve denials for not using the KX modifer/ICD 9 until July 7/2014.