DME MODIFIERS

You need to append the KX modifier in addition to your pricing modifiers NU or RR (KH,KI,KJ)

KX Modifier-Documentation on File

Many policies require the KX modifier be added to the code to indicate specific required documentation is on file. Currently, the following policies address KX modifier usage:

Some examples:

• Commodes  -  E0163NUKX
• Continuous Positive Airway Pressure System  - E0601RRKHKX
• Hospital Beds and Accessories - E0260RRKHKX
• Manual Wheelchair Base - K0001RRKHKX
• Power Mobility Devices - K0823RRKHKX
• Pressure Reducing Support Surfaces - E0277RRKHKX

KX - Requirements specified in the medical policy have been met
KXGA never get billed together with any HCPC code, you bill either a KX or GA