Mobility Management

  • Home
  • Topics
    • Automotive Mobility
    • Billing / Reimbursement
    • Government / Legislation
    • Home Accessibility
    • Pediatrics
    • Power Chairs
    • Seating & Positioning
    • Ultralightweights
  • News
  • Featured
  • Podcasts
  • Request Media Kit
  • Webinars
  • Subscribe
  • Digital Edition
  • Awards
  • Advertise

CMS Issues Reminder for Claims with More than Four Modifiers

September 30, 2009 by Laurie Watanabe

The January 1 requirement regarding the KE modifier has now caused many DME claims to contain more than four modifiers, says the Centers for Medicare & Medicaid Services (CMS).

As a result, CMS has issues a billing reminder to DME suppliers about how to handle this situation.

The reminder pertains to all four DME MAC jurisdictions.

“When more than four modifiers are required on a claim line, suppliers should append the 99 modifier in the fourth two-digit position,” said the Sept. 25 notice from CMS. “If the item requires a pricing modifier NU, RR, or UE along with the KE pricing modifier, the NU, RR or UE modifier should be placed in the first position following the HCPCS code, and the KE modifier should be placed in the second position.

“If the item also requires a capped rental modifier (KH, KI, KJ, KR, MS, BR, BP or BU), it would be placed in the third position followed by any subsequent informational modifiers (RT, LT, RA, RB, GA, etc.). If the item requires a KX modifier, we suggest the KX modifier be placed on the claim line.”

The CMS notice added, “However, if the claim line necessitates the use of more than four modifiers, the 99 modifier must be placed in the fourth two-digit position. Suppliers should then list ALL of the modifiers in Item 19 for hard-copy claims or in the NTE segment for electronic claims. The modifiers should be listed first before any other narrative information and should not include any spaces.”

Related Articles Read More >

New NIH, CMS Partnership Aims to Build ‘Data Platform’ for Research on Chronic Conditions
Despite assurances that patient privacy will be protected, some health-care stakeholders are wary about data sharing.
MaRS, Toyota Mobility Foundation Call for Startups to Join Mobility Unlimited Hub in Toronto
The program provides funding, technical and marketing support to cohort members.
Reviewing RESNA’s Evacuation Standard: Performance Requirements, Installations, Inspections … and Why They Matter
The standard is open for comment till June 23.
Briefly: ‘Stronger Together’ Podcast Launches May 13; Parkinson’s Researchers Seeking Volunteers for Scratch-and-Sniff Test
Featuring United Spinal Association, M.A.R.C. Network, and the Michael J. Fox Foundation.

GET THE FREE NEWSLETTER

Mobility Management Newsletter

Subscribe to Mobility Management's newsletter for industry & product news, trends and resources. Click here.
podcasts
Mobility Management
  • HME Business
  • Senior Housing News
  • Home Health Care News
  • Skilled Nursing News
  • Hospice News
  • Behavioral Health Business
  • Contact Us
  • About Us

Copyright © 2025 WTWH Media LLC. All Rights Reserved. The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of WTWH Media
Privacy Policy | Advertising | About Us

Search Mobility Management

  • Home
  • Topics
    • Automotive Mobility
    • Billing / Reimbursement
    • Government / Legislation
    • Home Accessibility
    • Pediatrics
    • Power Chairs
    • Seating & Positioning
    • Ultralightweights
  • News
  • Featured
  • Podcasts
  • Request Media Kit
  • Webinars
  • Subscribe
  • Digital Edition
  • Awards
  • Advertise