Hi all,
Please bear with me on this....... I am trying to understand the APPROPRIATE use of the KX modifier. EVERYTHING I read under Medicare, sounds like it is for supplies issued DURING THERAPY that have EXCEEDED the cap for the therapy. (and when I see THERAPY, I am thinking this means physical/occupational therapy).
We are an urgent care clinic. We do not go through an approval process with a DME supplier. We carry supplies, i.e., bandages, crutches, boots, splints, etc., and apply as appropriate.
So, if we are treating someone who had an injury, laceration, or broke their ankle, and applying these items, would this be included in the range that would qualify for a KX modifier?
Recently, we have been told that we can use modifier KX on these which would normally be denied by Medicare and they will pay............... but does that apply to these types of services/injuries? As I said, I thought it meant physical or occupational type therapy.
I don't want to be using this if it is incorrect and I really need some sound advice. Can anyone offer any expertise in this matter?
Thanks so much in advance.
Please bear with me on this....... I am trying to understand the APPROPRIATE use of the KX modifier. EVERYTHING I read under Medicare, sounds like it is for supplies issued DURING THERAPY that have EXCEEDED the cap for the therapy. (and when I see THERAPY, I am thinking this means physical/occupational therapy).
We are an urgent care clinic. We do not go through an approval process with a DME supplier. We carry supplies, i.e., bandages, crutches, boots, splints, etc., and apply as appropriate.
So, if we are treating someone who had an injury, laceration, or broke their ankle, and applying these items, would this be included in the range that would qualify for a KX modifier?
Recently, we have been told that we can use modifier KX on these which would normally be denied by Medicare and they will pay............... but does that apply to these types of services/injuries? As I said, I thought it meant physical or occupational type therapy.
I don't want to be using this if it is incorrect and I really need some sound advice. Can anyone offer any expertise in this matter?
Thanks so much in advance.