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MODIFIER KX ON PACER IMPLANT

Date: Jan 11, 2018

Question:

I'm having a disagreement with my auditor. Per MLN Matters, I think I should only append modifier -KX to a pacemaker code if I see the blurb "non-reversible symptomatic bradycardia" somewhere in the chart. She doesn't think that is needed and believes you can add the -KX as long as the claim contains one of the following diagnosis codes: I44.2, I44.1, I49.5, or Q24.6. What is your interpretation please?

Question ID : 10309
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