What is kx modifier

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The ADA is a third-party beneficiary to this Agreement. The scope of this license is determined by the ADA, the copyright holder. End users do not act for or on behalf of the CMS. Reproduced with permission. Review the specific LCD and policy article to determine the medical policy and documentation requirements. These modifiers cannot be added or changed through claim reopenings. Read the Glucose Monitors policy for more information about the modifiers required for Glucose supplies. The GY modifier is added to claims in which the item or service is statutorily excluded, does not meet the definition of any Medicare benefit, or -for non-Medicare Insurers- is not a contract benefit.

The GZ modifier is added to claims in which the item or service is expected to be denied as not reasonable or necessary and there is not a properly executed ABN in the file. Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT-4 only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories.

You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.

Applications are available at the American Dental Association website. Please click here to see all U. Government Rights Provisions. CDT-4 is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose.

No fee schedules, basic unit, relative values or related listings are included in CDT The ADA does not directly or indirectly practice medicine or dispense dental services. Obtaining Therapy Cap Information You may access the accrued amount or remaining amount of therapy services from the Medicare beneficiary eligibility inquiry and response transactions.

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