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Thread: KX

  1. #1
    Join Date
    Apr 2007

    Default KX

    AAPC: Back to School
    Would you use a KX mod on a CPT code, like an injection???

    Can you direct me to some information on this??


  2. #2
    Join Date
    Apr 2007


    Yes. KX can be used on CPT codes as well as HCPCS codes.
    We have to report it when billing diabetic shoes to DMERC.
    Specifically for our diabetic shoes billing, reporting the KX modifier implies there is documenation in the patient's chart such as a signed statement from the referring provider who manages the patient's systemic disease...among other info.
    I'd check the LCD either on Medicare's website or CMS...for the CPT code you are billing to verify if a KX would be required (& then what is required in the patient's chart by reporting the KX).

    Hope this helps some...

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