The EB modifier is used for ESA’s to treat anemia due to anti-cancer radiotherapy. Below the description, billing guidelines and reimbursement for this modifier. What Is Modifier EB? The EB modifier is defined by the CPT manual as: “Erythropoetic stimulating agent (ESA) administered to treat anemia due to anti-cancer radiotherapy.” CMS uses modifier EB to…

The KF modifier can be used for pricing. The description and billing guidelines can be found below. What Is Modifier KF? The KF modifier is defined by the CPT manual as: “Item designated by FDA as Class III device.” Modifier KF is a pricing modifier. The HCPCS codes for DME designated as class III devices…

What Is Modifier KM And Modifier KN? The KM modifier is defined by the CPT manual as: “Replacement of facial prosthesis including new impression/moulage.” The KN modifier is defined by the CPT manual as: “Replacement of facial prosthesis using previous master model.“ When To Use Modifier KM And Modifier KN? KM Modifier and KN Modifier…

What Is Modifier KL? The KL modifier is defined by the CPT manual as: “DMEPOS item delivered via mail.” Effective January 1, 2009, the KL modifier has been changed from an informational modifier to a pricing modifier in the HCPCS file. Contract suppliers must use the KL modifier on all claims for diabetic supply codes…

The GJ modifier can be used for opted out physicians or practitioners in an emergency or urgent situation. Below the description and billing guidelines for this modifier. What Is Modifier GJ? The GJ modifier is defined by the CPT manual as: “”opt out” physician or practitioner emergency or urgent service”. In an emergency or urgent…

Modifier QQ can be used when the furnishing professional is aware of the result of the ordering professional’s consultation. Below are the description and billing guidelines for this modifier. Description Of Modifier QQ Modifier QQ is defined by the CPT manual as: “The ordering professional consulted a qualified clinical decision support mechanism for this service…

Beginning Jan. 1, 2018, clinicians may report on Medicare Part B claims submitted for items and services the applicable HCPCS Level II modifiers established for patient relationship categories. Although the use and selection of these modifiers are not be a condition of payment, yet, clinicians should prepare for the likelihood of them becoming applicable components…