Upgrade modifiers and resubmit the claim

Resubmitting Claims with Upgrade Modifiers – Effective 02/04/2011 Recently the Durable Medical Equipment Medicare Administrative Contractors (DME MAC) issued bulletin articles regarding the use of upgrade modifiers in conjunction with HCPCS codes subject to the...

Medicare DME modifiers and HCPCS modifiers

DME Modifiers -KX Requirements specified in medical policy have been met. -EY No physician or other licensed health care provider order for this item or service (Items billed to the DMERC before a signed and dated order has been received by the supplier must be...