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HCPCS Modifier KX

Requirements specified in the medical policy have been met

Modifiers

K0-KZ K Modifiers

K0 Lwr ext prost functnl lvl 0

K1 Lwr ext prost functnl lvl 1

K2 Lwr ext prost functnl lvl 2

K3 Lwr ext prost functnl lvl 3

K4 Lwr ext prost functnl lvl 4

KA Wheelchair add-on option/acc

KB >4 modifiers on claim

KC Repl special pwr wc intrface

KD Drug/biological dme infused

KE Bid under round 1 dmepos cb

KF Fda class iii device

KG Dmepos comp bid prgm no 1

KH Dmepos ini clm, pur/1 mo rnt

KI Dmepos 2nd or 3rd mo rental

KJ Dmepos pen pmp or 4-15mo rnt

KK Dmepos comp bid prgm no 2

KL Dmepos mailorder comp bid

KM Rplc facial prosth new imp

KN Rplc facial prosth old mod

KO Single drug unit dose form

KP First drug of multi drug u d

KQ 2nd/subsqnt drg multi drg ud

KR Rental item partial month

KS Glucose monitor supply

KT Item from noncontract supply

KU Dmepos comp bid prgm no 3

KV Dmepos item, profession serv

KW Dmepos comp bid prgm no 4

KX Documentation on file

KY Dmepos comp bid prgm no 5

KZ New cov not implement by m+c

Date	Action	Notes
2002-07-01	Added	Code added 7/1/2002