csmith90
Contributor
Hello,
Has anyone encountered a denial from Medicare on an RFA (64633-64636) and been told that a KX modifier needs to be added to their RFA code?
Our denial indicates non covered charge - local coverage determination but going back through the documentation, the patient has met the requirements of the 2 diagnostic MBB's with the consistent pain relief indicated per the requirements. We have appropriate prior authorization on the MBB's and the RFA, and the KX modifier was appropriately added to the MBB codes. When we called to gain further insight into the denial we were told then that the KX modifier should be added. We have been wondering if this is potentially a change coming down the line that just maybe has not been put out there in writing yet?
Thank you for your help!
Has anyone encountered a denial from Medicare on an RFA (64633-64636) and been told that a KX modifier needs to be added to their RFA code?
Our denial indicates non covered charge - local coverage determination but going back through the documentation, the patient has met the requirements of the 2 diagnostic MBB's with the consistent pain relief indicated per the requirements. We have appropriate prior authorization on the MBB's and the RFA, and the KX modifier was appropriately added to the MBB codes. When we called to gain further insight into the denial we were told then that the KX modifier should be added. We have been wondering if this is potentially a change coming down the line that just maybe has not been put out there in writing yet?
Thank you for your help!