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A capped rental item is durable medical equipment (DME) (such as a wheelchair) that Medicare covers initially for rental, rather than for purchase, often because of its high cost. Medicare pays the rental fees for these items in monthly installments.
KH DMEPOS ITEM, INITIAL CLAIM, PURCHASE OR FIRST MONTH RENTAL. This modifier is used for a capped rental DME item. When using the KH modifier, you are indicating you are billing for the first month of the capped rental period.
Modifiers ModifierBrief DescriptionMod RRRental (Use this RR modifier when DME is to be rented)Mod RTRight side (Used to identify procedures performed on the right side of the body)Mod STRelated to trauma or injuryMod TALeft foot, great toe114 more rows Modifiers - JD DME - Noridian noridianmedicare.com web jddme topics noridianmedicare.com web jddme topics
Modifier KI DMEPOS item, second or third month rental.
Medicare Part B pays for certain pieces of durable medical equipment such as hospital beds, nebulizers, and wheelchairs under the capped rental category. Capped rental equipment generally costs more than $150 and is not routinely purchased, service intensive, or customized.
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Modifier KX must be used when billing glucose monitor supplies for beneficiaries who are being treated with insulin injections. Modifier KS must be used when billing glucose monitor supplies for beneficiaries who are not being treated with insulin injections.
KU Modifier for Accessories Used in Conjunction with Complex Rehabilitative Manual Wheelchairs and Certain Other Manual Wheelchairs.
Medicare Part B pays for certain pieces of durable medical equipment such as hospital beds, nebulizers, and wheelchairs under the capped rental category. Payments for capped rental equipment are made monthly and cannot exceed 15 months of rental. Medicare Maintenance Payments for Capped Rental Equipment Office of Inspector General (.gov) reports oei-03-00-00410 Office of Inspector General (.gov) reports oei-03-00-00410 PDF
KH DMEPOS ITEM, INITIAL CLAIM, PURCHASE OR FIRST MONTH RENTAL. This modifier is used for a capped rental DME item. When using the KH modifier, you are indicating you are billing for the first month of the capped rental period. Commonly Use DME Modifiers | DME Billing gohealthcarellc.com blog commonly-use gohealthcarellc.com blog commonly-use
Notes the CMS (Centers for Medicare Medicaid Services) Manual System dated Nov. 7, 2008, The KE modifier is a pricing modifier that suppliers must use to identify when the same accessory HCPCS code can be furnished in multiple competitive and non-competitive bidding product categories.

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