What is the KP modifier?

When two NDCs are submitted on a claim, a KP modifier (first drug of a multiple drug unit dose formulation) is required on the first detail and a KQ modifier (second or subsequent drug of a multiple drug unit dose formulation) is required on the second detail.

What is KT modifier for Medicare?

competitively bid items
Medicare will pay for competitively bid items furnished by… Suppliers must affix the HCPCS modifier “KT” to claims for OTS back or knee braces that are furnished to beneficiaries who permanently reside in a CBA and need a competitively bid item when they travel outside of the CBA where they reside.

What is modifier KO?

Single drug unit dose formulation.

Is the 59 modifier only for Medicare?

Modifier 59 is not going away and will continue to be a valid modifier, according to Medicare. However, modifier 59 should NOT be used when a more appropriate modifier, like a XE, XP, XS or XU modifier, is available. Certain codes that are prone to incorrect billing may also require one of the new modifiers.

Where do you use the KF modifier in HCPCS?

The following HCPCS codes and their associated LCD have devices where the KF modifier is applicable. LICENSES AND NOTICES License for Use of “Physicians’ Current Procedural Terminology”, (CPT) Fourth Edition

When to use the KL modifier for diabetic supply codes?

Suppliers must use the KL modifier on all claims for diabetic supply codes (A4233, A4234, A4235, A4236, A4253, A4256, A4258, and A4259) that are furnished via mail order to beneficiaries Example: A4253NUKSKL or A4253NUKXKL The KL modifier is not used with diabetic supply codes that are not delivered to the

How to contact Kaiser Permanente Medicare health plan specialist?

Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. For accommodations of persons with special needs at meetings, call 1-877-220-3956 (toll free) or TTY 711.

When to use a modifier in Medicare coding?

There are times when coding and modifier information issued by the Centers for Medicare & Medicaid Services differs from the American Medical Association regarding the use of modifiers. A clear understanding of Medicare’s rules and regulations is necessary in order to assign the appropriate modifier.