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Medicare - KX Denials   Message List  
Reply | Forward Message #144 of 206 |

Recently many therapy providers have experienced a high volume of denials on Medicare claims having the KX modifier. Please see below for information directly from Medicare regarding this issue. Although this is not a solution, it is a recognition of the problem and gives some direction. You will be informed of any further developments.

If you have questions, please contact me directly at angelasbrooks@....

Thanks.

TrailBlazer Part B Physical/Occupational Therapy Claims

Some Physical/Occupational Therapy services billed with the KX modifier are being denied in error. The denial message is: Benefit maximum for this time period has been reached.

At this time, follow the instructions below:

Claims not filed.    
Claims requiring the KX modifier should not be filed until further notice.
 
Claims denied.
Do not request a redetermination; hold until further notice.

Another listserv message will be sent once we have a resolution to this issue.

© CPT codes, descriptions, and other data only are copyright 2006 American Medical Association. All rights reserved. Applicable FARS/DARS clauses apply.
© CDT codes and descriptions are copyright 2006 American Dental Association. All rights reserved. Applicable FARS/DFARS clauses apply.


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Fri Jun 22, 2007 4:42 am

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Message #144 of 206 |
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Recently many therapy providers have experienced a high volume of denials on Medicare claims having the KX modifier. Please see below for information directly...
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Jun 22, 2007
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