KF Modifier Use - Correct Coding
Suppliers are reminded that devices classified by the Food & Drug Administration (FDA) as Class III devices must be billed using the KF modifier (ITEM DESIGNATED BY FDA AS CLASS III DEVICE). The following HCPCS codes and their associated Local Coverage Determinations (LCD) have devices where the KF modifier is applicable:
|E0617||EXTERNAL DEFIBRILLATOR WITH INTEGRATED ELECTROCARDIOGRAM ANALYSIS||Automatic External Defibrillators|
|E0747||OSTEOGENESIS STIMULATOR, ELECTRICAL, NON-INVASIVE, OTHER THAN SPINAL APPLICATIONS||Osteogenesis Stimulators|
|E0748||OSTEOGENESIS STIMULATOR, ELECTRICAL, NON-INVASIVE, SPINAL APPLICATIONS||Osteogenesis Stimulators|
|E0760||OSTEOGENESIS STIMULATOR, LOW INTENSITY ULTRASOUND, NON-INVASIVE||Osteogenesis Stimulators|
|E0766||ELECTRICAL STIMULATION DEVICE USED FOR CANCER TREATMENT, INCLUDES ALL ACCESSORIES, ANY TYPE||Tumor Treatment Field Therapy|
|K0553||SUPPLY ALLOWANCE FOR THERAPEUTIC CONTINUOUS GLUCOSE MONITOR (CGM), INCLUDES ALL SUPPLIES AND ACCESSORIES, 1 MONTH SUPPLY = 1 UNIT OF SERVICE||Glucose Monitors|
|K0554||RECEIVER (MONITOR), DEDICATED, FOR USE WITH THERAPEUTIC GLUCOSE CONTINUOUS MONITOR SYSTEM||Glucose Monitors|
|K0606||AUTOMATIC EXTERNAL DEFIBRILLATOR, WITH INTEGRATED ELECTROCARDIOGRAM ANALYSIS, GARMENT TYPE||Automatic External Defibrillators|
|K0607||REPLACEMENT BATTERY FOR AUTOMATED EXTERNAL DEFIBRILLATOR, GARMENT TYPE ONLY, EACH||Automatic External Defibrillators|
|K0608||REPLACEMENT GARMENT FOR USE WITH AUTOMATED EXTERNAL DEFIBRILLATOR, EACH||Automatic External Defibrillators|
|K0609||REPLACEMENT ELECTRODES FOR USE WITH AUTOMATED EXTERNAL DEFIBRILLATOR, GARMENT TYPE ONLY, EACH||Automatic External Defibrillators|
For items classified by the FDA as a Class III device that do not have a specific HCPCS code assigned, use HCPCS code E1399 (DURABLE MEDICAL EQUIPMENT, MISCELLANEOUS) with the KF modifier appended.
The following HCPCS code also has products which are classified by the FDA as Class III devices. Although not associated with a specific LCD, the KF modifier is required for claim submission of this HCPCS code as well.
|E0764||FUNCTIONAL NEUROMUSCULAR STIMULATION, TRANSCUTANEOUS STIMULATION OF SEQUENTIAL MUSCLE GROUPS OF AMBULATION WITH COMPUTER CONTROL, USED FOR WALKING BY SPINAL CORD INJURED, ENTIRE SYSTEM, AFTER COMPLETION OF TRAINING PROGRAM||
None (see National Coverage Determination 160.12 at https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/ncd103c1_Part2.pdf)
This information will be added to the applicable LCD-related Policy Articles in an upcoming revision. Please see the applicable Policy Articles for specific information.
|10/21/2019||Published on PDAC website|