ahirpara98
New
Hi,
I have a patient whose health history is that he is diabetic and I am receiving denials from Medicare DME for the CPT L3000 as CO-16( Claim service lack for information) these claim also contains a remark code M124 (Missing indication of whether the patient owns the equipment that requires the part or supply) and we are using KX modifier for all claims with RT/LT Modifier. When I called Noridiane the rep told me to append KX you are attesting that the insert is an integral part of the leg brace. What they are looking for in Box 19, is the HCPCS code of the leg brace and the date of purchase. I confirmed with Noridian DME, that yes, we would need to reach out to the provider/supplier of the leg brace to obtain this information.
I was thinking to bill out L3260 with KX and RT/LT also I see that A5501 HCPCS is for diabetic only. So is it a better option for me to bill out just because the patient is diabetic?
Please help!
I have a patient whose health history is that he is diabetic and I am receiving denials from Medicare DME for the CPT L3000 as CO-16( Claim service lack for information) these claim also contains a remark code M124 (Missing indication of whether the patient owns the equipment that requires the part or supply) and we are using KX modifier for all claims with RT/LT Modifier. When I called Noridiane the rep told me to append KX you are attesting that the insert is an integral part of the leg brace. What they are looking for in Box 19, is the HCPCS code of the leg brace and the date of purchase. I confirmed with Noridian DME, that yes, we would need to reach out to the provider/supplier of the leg brace to obtain this information.
I was thinking to bill out L3260 with KX and RT/LT also I see that A5501 HCPCS is for diabetic only. So is it a better option for me to bill out just because the patient is diabetic?
Please help!
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