Billing Instructions and Information
News articles and resources that give billing instructions and information about HCPCS coding and modifiers are listed in the following categories:
- Billing Instruction Articles
- Certificates of Medical Necessity (CMNs) & DME Information Forms (DIFs)
- Charts & Tools
- Competitive Bidding Program
- Correct Coding Articles
- CR Modifier Usage for COVID-19 PHE
- HCPCS Jurisdiction Lists
- HCPCS Updates
Billing Instruction Articles
- Entering the Correct Ordering Practitioner on Claims – 10.11.23
- How to Choose the Correct Oxygen Modifier – 08.11.23
- GW Modifier Usage for Hospice Patients – 07.12.23
- Insulin Furnished Through an External Infusion Pump – Important Billing Instructions for Dates of Service on or After May 1, 2023 – 07.07.23
- Ventilator Resources – 07.07.23
- Supplies – Use of Upgrade Modifiers – 06.26.23
- Medicare Part B DME Drug Inflation Rebates – 06.23.23
- KX Modifier Added to Enteral Nutrition, Parenteral Nutrition, Osteogenesis Stimulators, and Seat Lift Mechanisms LCDs for Dates of Service on or after July 2, 2023 – 06.23.23
- New JZ Modifier for Zero Discarded Drugs & Biologicals in Single-Use Containers – Revised – 06.15.23
- A4258/Spring-Powered Device for Lancet – Blood Glucose Monitors – 03.21.22
- Beneficiary Addresses – 02.09.22
- Medically Unlikely Edits (MUEs) & Clinically Unbelievable Edits (CUEs) – 01.10.22
- Billing Update: K0462 (Temporary Replacement for Patient Owned Equipment Being Repaired) – 02.22.21
Certificates of Medical Necessity (CMNs) & DME Information Forms (DIFs)
Charts & Tools
- Advanced Modifier Engine (AME)
- Claim Narratives Chart
- Claim Span Dates & Claim Narratives Chart
- Inpatient Hospital/SNF DMEPOS Claim Submission Reference Aid
Competitive Bidding Program
- DMEPOS Competitive Bidding Program: Temporary Gap Period Starts January 1 – 05.31.23
- Competitive Bidding Program Modifiers Frequently Asked Questions (FAQs) – 09.09.21
- Competitive Bidding Program – Web page for non-contract suppliers with information on KV and KT modifiers
- Competitive Bidding Program Modifiers Frequently Asked Questions (FAQs)
Correct Coding Articles
CR Modifier Usage for COVID-19 PHE
- See PHE for COVID-19
HCPCS Jurisdiction Lists
- 2023 DMEPOS HCPCS Code Jurisdiction List – October Update – 11.20.23
- 2023 DMEPOS HCPCS Code Jurisdiction List – April Update – 04.24.23
- DMEPOS HCPCS Code Jurisdiction List – October 2022 Update – 10.27.22
- DMEPOS HCPCS Code Jurisdiction List – April 2022 Update – 04.07.22
HCPCS Updates
- October 2023 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 08.24.23
- July 2023 HCPCS Updates – New, Revised and Discontinued HCPCS Codes – 05.26.23
- April 2023 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 04.03.23
- January 2023 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers – 01.30.23
- October 2022 HCPCS Updates – New and Revised HCPCS Codes – 08.29.22
- July 2022 HCPCS Code Updates – 05.26.22
- April 2022 HCPCS Code Updates – 03.01.22
- January 2022 HCPCS Updates – New and Discontinued HCPCS Codes – 11.29.21
- July 2021 HCPCS Updates – New HCPCS Codes – 08.26.21
- April 2021 HCPCS Updates – New and Discontinued HCPCS Codes – 08.26.21
Last updated: November 20, 2023