AAPC - Back to school
Results 1 to 2 of 2

Thread: KX modifer-PAIN PROCEDURES

  1. #1

    Red face KX modifer-PAIN PROCEDURES

    AAPC: Back to School
    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

  2. #2
    Join Date
    Apr 2007
    Kokomo, IN

    Default kx modifier

    Just curious, does your diagnosis not cover for the procedure? Why are you having them sign an ABN?

Similar Threads

  1. Pain Procedures & E/M
    By beverlybellamy in forum Modifiers
    Replies: 2
    Last Post: 08-21-2015, 03:30 AM
  2. new to interventional pain procedures
    By Rita Bartholomew in forum Anesthesia
    Replies: 2
    Last Post: 10-07-2013, 11:21 PM
  3. sedation for pain procedures done in office setting
    By slochbihler@ppmnow.com in forum Compliance General Discussion
    Replies: 0
    Last Post: 05-16-2013, 12:57 PM
  4. Ultrasound for Pain procedures in a hospital
    By jkrportside in forum Interventional Radiology
    Replies: 2
    Last Post: 09-29-2008, 07:08 PM
  5. Ultrasound for Pain procedures in a hospital
    By jkrportside in forum Interventional Radiology
    Replies: 0
    Last Post: 09-02-2008, 03:01 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.