AAPC - Back to school
Results 1 to 4 of 4

Thread: Humana and DMEs

  1. #1

    Default Humana and DMEs

    AAPC: Back to School
    Please help. My podiatry practice bills out for DME products such as post-op shoes and pneumatic walkers. Humana has lately been denying them for incorrect modifiers. We have used LT, RT, Medicare modifiers, any modifiers we can find to try to get these paid for. Has anyone else had this problem, and if so how have you been able to fix it? Thanks in advance for any ideas that come through!!!

  2. #2
    Join Date
    Apr 2007


    In the past Humana has required a KX modifier be appended to some DME lines- custom orthotics, in my personal experience. Once I added this- the claim was processed correctly. Hope that helps!

  3. #3


    We've tried that, and the denials do not change. The physician doesn't want us to keep resubmitting claims because he's afraid they're going to start lowering the reimbursement. Any other ideas???

  4. #4
    Join Date
    Apr 2007


    I have always billed humana

    for example

    l3010 kx rt
    l3010 kx lt

    and gotten paid

    if you are still not getting paid - bill pos as pt home

Similar Threads

  1. Casting/Splinting/DMEs
    By svatek.laura@gmail.com in forum Orthopaedics
    Replies: 1
    Last Post: 02-12-2014, 05:45 PM
  2. Humana
    By jessica1974 in forum Cardiology
    Replies: 2
    Last Post: 07-19-2013, 12:58 PM
  3. Humana - I am having trouble
    By sledson in forum Podiatry
    Replies: 1
    Last Post: 08-30-2010, 07:12 PM

Tags for this Thread

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.