News, Skilled Nursing Facility

CMS alert: CY2019 DMEPOS fee schedule update and KX modifier amounts

Source: The Bottom Line

CR 11064 (MLN Matters) provides the Calendar Year 2019 annual update for the Medicare DMEPOS fee schedule. The update includes information on the data files, new and deleted HCPCS codes, adjusted fee schedule amounts, and other information related to the update of the fee schedule. Click here to read the full article.

KX modifier amounts for CY19 were released and are as follows:

  • KX Modifier threshold amount for PT and SLP combined = $2040
  • KX Modifier threshold amount for OT = $2040
  • For CY 2018, the Medical Review threshold amount is $3,000 for PT and SLP services combined and $3,000 for OT services