The KX modifier has differing requirements for usage depending on the specific Local Coverage Determination (LCD); suppliers should review the LCDs carefully to understand the …

Jun 12, 2014 · In practical terms, that means that you absolutely must start using modifier KX on your claims to avoid denials by July 7, 2014. Unless your payer instructs you otherwise, you …

Jun 1, 2022 · According to the article, we should append Modifier KX to the screening colonoscopy code to indicate that the service was performed as a follow-on screening after a …

May 17, 2024 · And clinicians that bill for Medicare Part B professional claims should report the KX (Requirements specified in the medical policy have been met) modifier for any claims …

Oct 4, 2016 · KX Modifier The KX modifier is used by DME suppliers to ensure that the records exist and are available to support that the claim has followed Medical Policy and the LCD for …

Nov 7, 2025 · The KX modifier threshold amount for physical therapy, speech language pathology, and occupational therapy is $2,480. The Medicare telehealth origination site facility …

Jan 15, 2024 · If the colonoscopy turns into a Diagnostic No do not use modifier KX: If you remove polyps during a screening colonoscopy following a positive non-invasive stool-based …

Jul 1, 2025 · Modifier KX Specific required documentation on file is expected to play a role in future billing of skin substitutes. Proper use of this modifier will be essential to avoid claim …

Feb 9, 2022 · KX Modifier Requirements A diagnostic selective nerve root block (DSNRB) is identically coded as an epidural injection. Therefore, when performing a DSNRB, the -KX …

Nov 11, 2022 · Hi, We append KX modifier for the leadless PM. Since you have mentioned it as Anatomical Modifier denial, 1. Considering the description for the CPT 33274 - " Transcatheter …