Dollars $$ Sense: Modifiers and More Modifiers: GN, KX, -59, CH, CI, CJ, CK, CL, CM, CN...OY!! Over the past decade, those who bill Medicare for services rendered have been instructed to add modifiers to Current Procedural Terminology (CPT) codes to provide the Center for Medicare and Medicaid (CMS) with more information about the procedure or service that was provided. We are all familiar with the ... Dollars $$ Sense
Dollars $$ Sense  |   July 01, 2013
Dollars $$ Sense: Modifiers and More Modifiers: GN, KX, -59, CH, CI, CJ, CK, CL, CM, CN...OY!!
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Hearing Aids, Cochlear Implants & Assistive Technology / Special Populations / International & Global / Dollars $$ Sense
Dollars $$ Sense   |   July 01, 2013
Dollars $$ Sense: Modifiers and More Modifiers: GN, KX, -59, CH, CI, CJ, CK, CL, CM, CN...OY!!
SIG 3 Perspectives on Voice and Voice Disorders, July 2013, Vol. 23, 39-41. doi:10.1044/vvd23.2.39
SIG 3 Perspectives on Voice and Voice Disorders, July 2013, Vol. 23, 39-41. doi:10.1044/vvd23.2.39
Over the past decade, those who bill Medicare for services rendered have been instructed to add modifiers to Current Procedural Terminology (CPT) codes to provide the Center for Medicare and Medicaid (CMS) with more information about the procedure or service that was provided. We are all familiar with the modifiers that identify the type of therapist who provides the rehabilitation treatment; namely, a GN modifier represents a speech-language pathologist (SLP), whereas GO and GP represent an occupational therapist (OT) and physical therapist (PT), respectively. CMS also provides modifiers to use with procedural coding pair edits. The most frequently used modifier of this type for those of us who do laryngeal videostroboscopy (CPT 31579) and laryngeal function studies (CPT 92620) is the -59 modifier. It is attached to CPT 92520 when CPT 31579 and 92520 are provided to the same patient on the same day. The -59 modifier indicates that the two procedures are separate and distinct. And then of course, we can’t forget the KX modifier. The use of the KX modifier is related to the therapy cap, and its use has been extended through 2013. When SLP and PT services reach the combined therapy cap of $1,900, the KX modifier on the claim initiates the exception process and attests to the medical necessity of continued services and availability of documentation.
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