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Mod KX and GA

  1. #1
    Location
    Greeley, Colorado
    Posts
    2,045
    Question Mod KX and GA
    Exam Training Packages
    I may be over-thinking this...but why would you need KX if you have an ABN?
    Lisa Bledsoe, CPC, CPMA

  2. #2
    Location
    Sioux Falls South Dakota
    Posts
    358
    Default
    Quote Originally Posted by Lisa Curtis View Post
    I may be over-thinking this...but why would you need KX if you have an ABN?
    Lisa, I'm with you - I have seen instructions to code both - but doesn't the GA say it all? We have an ABN and can bill the patient. I hope someone has some insight into this!
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. Default
    I don't see both modifiers KX and ABN should go together. Modifier KX is used when following coverage criteria mentioned in the policy. If not don't use modifier KX. In that case if KX is not used means claim is going to be denied, an ABN modifier can be used.

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    That is pretty much what I am thinking also, but for some reason it's not clicking.
    Lisa Bledsoe, CPC, CPMA

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