BALTIMORE — If you thought the KX was tough to get a handle on, try this recently released list of new claims modifiers for use under competitive bidding:
- J4 - DMEPOS item subject to DMEPOS competitive bidding program that is furnished by a hospital upon discharge.
- KG - DMEPOS item subject to DMEPOS competitive bidding program Number 1.
- KK - DMEPOS item subject to DMEPOS competitive bidding program Number 2.
- KU - DMEPOS item subject to DMEPOS competitive bidding program Number 3.
- KW - DMEPOS item subject to DMEPOS competitive bidding program Number 4.
- KY - DMEPOS item subject to DMEPOS competitive bidding program Number 5.
- KL - DMEPOS Item delivered via mail.
- KV - DMEPOS item subject to DMEPOS competitive bidding program that is furnished as part of a professional service.
- KT - Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item.
For an explanation of the new modifiers, how to use them and who should use them, see MLN Matters article SE1035, posted Dec. 27 on the CBIC website under "What's New."
According to the article, the KG, KK, KU, KW, and KY modifiers are modifiers that identify when the same supply or accessory HCPCS code is furnished in multiple competitive bidding product categories or when the same code can be used to describe both competitively and non-competitively bid items.
In addition, the article notes, all suppliers must use the KE modifier (added to the DMEPOS fee schedule file in 2009) on all Part B fee-for-service claims to identify when a Round I bid accessory item is used with a non-competitively bid base item (an item that was not competitively bid prior to July 2008).
View more competitive bidding stories.