by Lori | May 12, 2010 | CPT modifiers
DME MAC Jurisdiction C Modifier QF — PRESCRIBED AMOUNT OF OXYGEN EXCEEDS 4 LPM AND PORTABLE OXYGEN IS PRESCRIBED. These modifiers may only be used with stationary gaseous (E0424) or liquid (E0439) systems or with an oxygen concentrator (E1390, E1391). They must...
by Lori | May 12, 2010 | CPT modifiers
DME MAC Jurisdiction C Modifier KS — GLUCOSE MONITOR SUPPLY FOR DIABETIC BENEFICIARY NOT TREATED WITH INSULIN. If the patient is not being treated with insulin injections, the KS modifier must be added to the code for the monitor and each related supply on every...
by Lori | May 12, 2010 | CPT modifiers
DME MAC Jurisdiction C Modifier BA — ITEM FURNISHED IN CONJUNCTION WITH PARENTERAL ETERNAL NUTRITION (PEN) SERVICES. (EFFECTIVE DATE 1/1/2003)When an IV pole (E0776) is used in conjunction with parenteral nutrition, the BA modifier should be added to the code....
by Lori | May 12, 2010 | CPT modifiers
DME MAC Jurisdiction C Modifier K0 — LOWER EXTREMITY PROSTHESIS FUNCTIONAL LEVEL 0. DOES NOT HAVE THE ABILITY OR POTENTIAL TO AMBULATE OR TRANSFER SAFELY WITH OR WITHOUT ASSISTANCE AND A PROSTHESIS DOES NOT ENHANCE THEIR QUALITY OF LIFE OR MOBILITY. K1 —...
by Medical Billing | May 8, 2010 | CPT modifiers
Additional Modifiers for Use With Ambulance Transports -GM Multiple patients on one ambulance trip When more than one patient is transported in an ambulance, the Medicare allowed charge for each beneficiary is a percentage of the allowed charge for a single...
by Medical Billing | May 8, 2010 | CPT modifiers
Origin And Destination Modifiers Two single digit modifiers must be used with ambulance service codes to identify both the point of origin and the destination. The first single digit modifier indicates the point of origin. The second single digit modifier indicates...
by Medical Billing | May 8, 2010 | CPT modifiers
A modifier is a two-digit numeric or alpha numeric character reported with a HCPCS code, when appropriate. Modifiers are designed to give Medicare and commercial payers additional information needed to process a claim. This includes HCPCS Level 1 (CPT) and HCPCS Level...
by Lori | May 7, 2010 | CPT modifiers
DME MAC Jurisdiction C Modifier CPT Modifier 99 – Multiple Modifiers 99 — MODIFIER OVERFLOW. (EFFECTIVE DATE 7/1/2003)This modifier is used when you have exhausted the modifier field on the claim form. If you need additional room to add modifiers, append the 99...
by Lori | May 6, 2010 | CPT modifiers
DME MAC Jurisdiction C Modifier KM — REPLACEMENT OF FACIAL PROSTHESIS INCLUDING NEW IMPRESSION/MOULAGE KN — REPLACEMENT OF FACIAL PROSTHESIS USING PREVIOUS MASTER MODEL KC — REPLACEMENT OF SPECIAL POWER WHEELCHAIR INTERFACE. (EFFECTIVE DATE 01/01/05)...
by Lori | May 6, 2010 | CPT modifiers
HCPCS Code Short Description Long Description J7611 Albuterol non-comp con Albuterol, inhalation solution, FDA-approved final product, non-compounded, administered through DME, concentrated form, 1 mg J7612 Levalbuterol non-comp con Levalbuterol, inhalation solution,...
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