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Info Hub
Medical Billing Services
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• Top Modifiers Used In DME Billing
• Durable Medical Equipment billing is a highly
  complicated billing process as it involves
  several inclusions.
• Missing out even a minute detail can lead to
  rejection or denial of the claims. Modifiers play
  a crucial role in such billings apart from the
  HCPCS codes as per the DME supplies.
• Modifiers provide the details and the description
  of the DME items and decide on the claims
  processed on DME. Along with the HCPCS codes,
  the DME medical billing also uses the ICD-10
  diagnosis code. These codes determine the medical
  condition for which the DME item was prescribed
  in the first place.

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• Modifiers- A Look
• All HCPCS codes do not require a modifier, but
  most of them come along with one. A modifier
  mentions whether the DME item is new or used, or
  rented on a capped mode. In case the DME is on
  capped rental, only the modifiers can show the
  difference in which month the DME billing is
  being done.
• Common Modifier
• RR Rental
• NU New Equipment Purchase
• UE Used Equipment Purchase

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• Categories for which Common Modifiers are used
• Modifiers RR, NU, and UE can be used for the
  following categories
• Oxygen Equipment (without contents)
• Capped Rental Items
• Items with the need for Substantial and Frequent
  Servicing
• Inexpensive and Routinely Purchased items

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• Maintenance and Servicing
• MS is the modifier used for the six-month
  maintenance and servicing fee. This modifier is
  used for labor and parts that remain uncovered
  under any supplier or manufacturers warranty.
  Moreover, the payments for maintenance and
  service are made every 6 months but only after
  the equipment is initially owned by the member.
• Replacement and Repair
• RA is a modifier that is applicable for a DME
  item replacement with respect to non-repair
  damage, theft, or loss. However, this DME code
  needs to be used only for the first-month rental
  claim for a replacement DME item

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• KX Modifier Documentation on File
• The KX Modifier indicates the existence of
  required documentation on file to support the DME
  items medical necessity. This modifier is
  applicable for the following categories
• Hospital beds
• Walkers
• Orthopedic footwear
• Patient lifts
• CPAP
• Wheelchair seating
• Pre-fabricated knee orthoses
• Cervical traction unit
• External infusion pumps
• Nebulizers
• Commodes and many more

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• Right and Left Modifiers
• RT For Right
• LT For Left
• Modifiers RT and LT can be used for the following
  categories
• External breast prosthesis
• AFO/ KAFO
• Orthopaedic footwear
• Eye prosthesis
• Lower limb prosthesis
• Therapeutic shoes for diabetic persons
• Wheelchair options/ accessories

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Conclusion These modifiers are just part of DME
billing, and there are multiple more modifiers
that are required to be specified and remembered
while submitting the claims. However,
practically it is not that easy for your DME
practice to balance patient care and DME billing
with the correct modifiers. It would be better
to outsource DME medical billing in India rather
than training in-house professionals for such
knowledge. Connect with the Info Hub experts
right now and get rid of DME medical billing
stress. 
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Info Hub
About us Info Hub Services was founded in 2010,
and is now one of the leading service providers
of highly motivated, certified coders, and
billers in the US medical billing
industry. Contact Us India Address Info
Hub, Sf No 558/2, Udayampalyam Rd, Nava
India, Coimbatore, Tamil Nadu 641028 US
AddressInfo Hub,1280, Patterson Ter,Lake
Mary.Florida 32747
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