Please note this question was answered in 2021. The coding advice may or may not be outdated.
SC vs. KX modifier
Date: Oct 8, 2021
Question:
I have been told to append a -KX modifier to pacemaker insertions and pacemaker removal/replacements (33206, 33207, 33208, 33227, 33228, 33229) for Medicare patients. In one of your 2021 webinars you stated that removal/replacements for EOL should have an -SC modifier instead of -KX. I have tried to do this, but now I'm being questioned about it. Can you verify that I should actually be using the -SC modifier for these? Or should I drop it and do as I'm told?
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